Gregory Lambourne, MD | |
1866 S Morey Rd, Lake City, MI 49651-9190 | |
(231) 775-4841 | |
(231) 839-7222 |
Full Name | Gregory Lambourne |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1866 S Morey Rd, Lake City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598775850 | NPI | - | NPPES |
1105708412 | Other | BLUE CROSS BLUE SHIELD | |
2092861-10 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301036909 (Michigan) | Primary |
Entity Name | Munson Home Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326002577 PECOS PAC ID: 4880610260 Enrollment ID: O20051117000803 |
Entity Name | Munson Healthcare Cadillac |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336539063 PECOS PAC ID: 6305161514 Enrollment ID: O20150401000808 |
Entity Name | Lake City Primary Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952896151 PECOS PAC ID: 7911242433 Enrollment ID: O20190102001466 |
Mailing Address | Practice Location Address |
---|---|
Gregory Lambourne, MD Po Box 384, Cadillac, MI 49601-0384 Ph: (231) 775-6076 | Gregory Lambourne, MD 1866 S Morey Rd, Lake City, MI 49651-9190 Ph: (231) 775-4841 |
Dr. Sotero M Ureta Iii, M. D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 112 E John Street, Lake City, MI 49651 Phone: 231-839-4359 Fax: 231-839-0223 |