| Lana Medical Care P.a. | |
|
500 Memorial Cir Suite A Ormond Beach FL 32174-5071 | |
| (386) 676-2779 | |
| (376) 676-2811 |
| Full Name | Lana Medical Care P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Memorial Cir, Ormond Beach, Florida |
| Authorized Official Name and Position | Christopher Larrazabal (OWNER) |
| Authorized Official Contact | 3866762779 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Medical Care P.a. 500 Memorial Cir Suite A Ormond Beach FL 32174-5071 Ph: (386) 676-2779 | Lana Medical Care P.a. 500 Memorial Cir Suite A Ormond Beach FL 32174-5071 Ph: (386) 676-2779 |
| NPI Number | 1386786622 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 9638220551 |
|---|---|
| Medicare Enrollment ID | O20090706000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386786622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Christopher Larrazabal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093770075 PECOS PAC ID: 9638220544 Enrollment ID: I20090706000160 |
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