Integrated Wound Care Alabama Pllc | |
641 S Lawrence St Montgomery AL 36104-5809 | |
(732) 451-4318 | |
Not Available |
Full Name | Integrated Wound Care Alabama Pllc |
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Speciality | General Practice |
Location | 641 S Lawrence St, Montgomery, Alabama |
Authorized Official Name and Position | Diane Lusas (MEMBER) |
Authorized Official Contact | 2018701194 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Integrated Wound Care Alabama Pllc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: () - | Integrated Wound Care Alabama Pllc 641 S Lawrence St Montgomery AL 36104-5809 Ph: (732) 451-4318 |
NPI Number | 1568059137 |
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Provider Enumeration Date | 12/29/2020 |
Last Update Date | 12/29/2020 |
Medicare PECOS PAC ID | 2466865316 |
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Medicare Enrollment ID | O20210113002262 |
Identifier | Type | State | Issuer |
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1568059137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | John M Croushorn |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1639182397 PECOS PAC ID: 3072594175 Enrollment ID: I20040525001567 |
Provider Name | Laura C Bunch |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295773125 PECOS PAC ID: 1850322850 Enrollment ID: I20130107000013 |
Provider Name | Christine S Falls |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598191231 PECOS PAC ID: 3577793231 Enrollment ID: I20140226000826 |
Provider Name | Elizabeth Kendall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679979660 PECOS PAC ID: 5496064321 Enrollment ID: I20151015002185 |
Provider Name | Diane Lusas |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20210113002528 |
Provider Name | Lisa W Cobb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225611320 PECOS PAC ID: 4183026990 Enrollment ID: I20210715001409 |
Provider Name | Brittany Urresta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447825450 PECOS PAC ID: 4880098409 Enrollment ID: I20210804001925 |
Provider Name | Melanie A Manney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124584297 PECOS PAC ID: 2769526268 Enrollment ID: I20211108002200 |
Provider Name | Melissa A Roy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174056253 PECOS PAC ID: 7214214675 Enrollment ID: I20220609001434 |
Provider Name | Andrea C Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942616321 PECOS PAC ID: 9638391113 Enrollment ID: I20230106000794 |
Provider Name | Catherine Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730885328 PECOS PAC ID: 7517325384 Enrollment ID: I20230627001001 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |