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2244 Barton Ave South Lake Tahoe CA 96150-3408 | |
(530) 541-9355 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 2244 Barton Ave, South Lake Tahoe, California |
Authorized Official Name and Position | Amy Pittlick Smith (FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 7752199076 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2244 Barton Ave South Lake Tahoe CA 96150-3408 Ph: () - | 2244 Barton Ave South Lake Tahoe CA 96150-3408 Ph: (530) 541-9355 |
NPI Number | 1851794853 |
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Provider Enumeration Date | 10/03/2014 |
Last Update Date | 10/03/2014 |
Identifier | Type | State | Issuer |
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1851794853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | NP13943 (California) | Primary |
Abby Cohen Md A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2209 South Ave, Suite B, South Lake Tahoe, CA 96150 Phone: 530-541-3286 Fax: 530-541-2005 | |
Henning Mehrens, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 Phone: 530-541-3277 Fax: 530-541-6913 | |
El Dorado County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 Johnson Blvd, Suite 103, South Lake Tahoe, CA 96150 Phone: 530-573-3156 | |