Lawrence H Neville, MD | |
1615 Delaware St, Longview, WA 98632-2310 | |
(360) 636-4814 | |
(360) 414-7965 |
Full Name | Lawrence H Neville |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1615 Delaware St, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134124639 | NPI | - | NPPES |
8905955 | Other | WA | CRIME VICTIMS |
022559 | Medicaid | OR | |
196953 | Other | WA | LABOR & IND. |
8402265 | Medicaid | WA | |
P00256993 | Other | RR MEDICARE |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
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Lawrence H Neville, MD Po Box 249, Longview, WA 98632-7154 Ph: () - | Lawrence H Neville, MD 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 636-4814 |
Baljinder Singh, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Clifford J Schostal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4814 Fax: 360-414-7965 | |
Robert C Axelrod, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2788 | |
Dr. Yehonatan Shilo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2024 | |
Tsz-ming Chow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Dr. Marc Anthony Bouchard, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4836 Fax: 360-636-6792 |