Mr Lawrence Wayne Wieczorek, CRNA is a
Nurse Anesthetist, Certified Registered based in Jacksons Gap, Alabama. Mr Lawrence Wayne Wieczorek is licensed to practice in Alabama (license number 1-064713) and his current practice location is
32 Post Oak Ln, Jacksons Gap, Alabama. He can be reached at his office (for appointments etc.) via phone at
(251) 769-1900.
NPI number for Mr Lawrence Wayne Wieczorek is 1881650257 and his current mailing address is 32 Post Oak Ln, Jacksons Gap, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881650257.
Provider's Profile
Full Name | Mr Lawrence Wayne Wieczorek |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 32 Post Oak Ln, Jacksons Gap, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881650257
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Lawrence Wayne Wieczorek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881650257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 1-064713 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Lawrence Wayne Wieczorek is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Lawrence Wayne Wieczorek, CRNA 32 Post Oak Ln, Jacksons Gap, AL 36861-2545 Ph: (251) 769-1900 | Mr Lawrence Wayne Wieczorek, CRNA 32 Post Oak Ln, Jacksons Gap, AL 36861-2545 Ph: (251) 769-1900 |
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