Dr Abiose O Lasaki, MD | |
130 Enterprise Dr, Danville, VA 24540-4070 | |
(434) 791-2273 | |
(434) 791-2824 |
Full Name | Dr Abiose O Lasaki |
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Gender | Female |
Speciality | Family Medicine |
Location | 130 Enterprise Dr, Danville, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467477281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9600005 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 0101053209 (Virginia) | Secondary |
207Q00000X | Family Medicine | P4668 (Texas) | Primary |
Entity Name | Dlp Central Carolina Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396101689 PECOS PAC ID: 6709180656 Enrollment ID: O20160212001472 |
Entity Name | Dlp Central Carolina Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184163883 PECOS PAC ID: 3577840420 Enrollment ID: O20170503000867 |
Mailing Address | Practice Location Address |
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Dr Abiose O Lasaki, MD Po Box 11117, Danville, VA 24543-5019 Ph: (434) 228-3620 | Dr Abiose O Lasaki, MD 130 Enterprise Dr, Danville, VA 24540-4070 Ph: (434) 791-2273 |
Dr. Kimaya Ryan Council, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 109 Bridge St Ste 201, Danville, VA 24541 Phone: 434-799-4488 Fax: 434-773-6977 | |
Dr. Thomas Edwin Wall, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 109 Bridge St Ste 201, Danville, VA 24541 Phone: 434-799-4488 Fax: 434-773-6977 | |
Katie Sue Woods, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 450 Piney Forest Rd, Danville, VA 24540 Phone: 434-799-1565 Fax: 434-792-1405 | |
Dr. Angeli Niravel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-3859 Fax: 434-773-6803 | |
Dr. Brandon Wayne Crawford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 142 S Main St, Danville, VA 24541 Phone: 434-799-2100 | |
Dr. Bonnie Neal Burnham, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 S Main St, Suite 3200, Danville, VA 24541 Phone: 434-799-4488 | |
Andreshia Brooks, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 173 Executive Dr, Danville, VA 24541 Phone: 434-791-4110 |