| Diabetes And Endocrine Care Pllc | |
|
1313 Saint Anthony Pl Louisville KY 40204-1740 | |
| (502) 727-7923 | |
| Not Available |
| Full Name | Diabetes And Endocrine Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1313 Saint Anthony Pl, Louisville, Kentucky |
| Authorized Official Name and Position | Lina Yassine (OWNER) |
| Authorized Official Contact | 5027277923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes And Endocrine Care Pllc Po Box 221317 Louisville KY 40252-1317 Ph: (502) 727-7923 | Diabetes And Endocrine Care Pllc 1313 Saint Anthony Pl Louisville KY 40204-1740 Ph: (502) 727-7923 |
| NPI Number | 1568797488 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 6800935354 |
|---|---|
| Medicare Enrollment ID | O20091123000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568797488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 42177 (Kentucky) | Primary |
| Provider Name | Lina Yassine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053526038 PECOS PAC ID: 0143248773 Enrollment ID: I20080827000007 |
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