| Lagniappe Medical, Pa | |
|
6600 30th Ave N St Petersburg FL 33710-3102 | |
| (727) 318-4463 | |
| (727) 384-8704 |
| Full Name | Lagniappe Medical, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6600 30th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Gigi Claire Lefebvre (OWNER) |
| Authorized Official Contact | 8136105076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagniappe Medical, Pa 6600 30th Ave N St Petersburg FL 33710-3102 Ph: (727) 318-4463 | Lagniappe Medical, Pa 6600 30th Ave N St Petersburg FL 33710-3102 Ph: (727) 318-4463 |
| NPI Number | 1760713598 |
|---|---|
| Provider Enumeration Date | 01/18/2010 |
| Last Update Date | 01/18/2010 |
| Medicare PECOS PAC ID | 5496882896 |
|---|---|
| Medicare Enrollment ID | O20100415000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760713598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gigi C Lefebvre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801908074 PECOS PAC ID: 6608809322 Enrollment ID: I20050914000152 |
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