| L & P Services, Inc. | |
|
207 Colegate Dr Marietta OH 45750-2363 | |
| (740) 376-0930 | |
| (740) 376-0933 |
| Full Name | L & P Services, Inc. |
|---|---|
| Speciality | Public Health or Welfare |
| Location | 207 Colegate Dr, Marietta, Ohio |
| Authorized Official Name and Position | Brent S. Phipps (PRESIDENT) |
| Authorized Official Contact | 7403760930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L & P Services, Inc. Po Box 4006 Marietta OH 45750-7006 Ph: (740) 376-0930 | L & P Services, Inc. 207 Colegate Dr Marietta OH 45750-2363 Ph: (740) 376-0930 |
| NPI Number | 1942289301 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 04/17/2009 |
| Medicare PECOS PAC ID | 7618991373 |
|---|---|
| Medicare Enrollment ID | O20060120000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942289301 | NPI | - | NPPES |
| Provider Name | Kent L Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750341731 PECOS PAC ID: 2769383405 Enrollment ID: I20040116000096 |
| Provider Name | Anthony R Derrico |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609886993 PECOS PAC ID: 7911892179 Enrollment ID: I20040217000488 |
| Provider Name | Lisa K Ladu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366479784 PECOS PAC ID: 4183717978 Enrollment ID: I20070911000003 |
| Provider Name | Rufus L Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174885529 PECOS PAC ID: 9234385089 Enrollment ID: I20120809000477 |
| Provider Name | Kimberly Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992176606 PECOS PAC ID: 9830487461 Enrollment ID: I20161013001144 |
| Provider Name | Paige M Waddell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215461207 PECOS PAC ID: 1052698065 Enrollment ID: I20170518002272 |
| Provider Name | Erin Donofrio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770722852 PECOS PAC ID: 0345395588 Enrollment ID: I20180605001665 |
| Provider Name | Trisha L Bail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497372080 PECOS PAC ID: 3870918261 Enrollment ID: I20200731002745 |
| Provider Name | Melissa K Weckbacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427432228 PECOS PAC ID: 3870912041 Enrollment ID: I20201007003192 |
| Provider Name | Julie Polcyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134727696 PECOS PAC ID: 1052721438 Enrollment ID: I20201113002464 |
| Provider Name | Shea H Lofty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154915155 PECOS PAC ID: 5294141545 Enrollment ID: I20210310002903 |
| Provider Name | Jamarcus A Hershberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457932329 PECOS PAC ID: 8022497478 Enrollment ID: I20220615002367 |
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