| Lmbmedical | |
|
127 School St Pawtucket RI 02860 | |
| (401) 475-3040 | |
| Not Available |
| Full Name | Lmbmedical |
|---|---|
| Speciality | Internal Medicine |
| Location | 127 School St, Pawtucket, Rhode Island |
| Authorized Official Name and Position | S Malatesta (BUSINESS MGR) |
| Authorized Official Contact | 7819102833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmbmedical 127 School St Pawtucket RI 02860-5305 Ph: (401) 475-3040 | Lmbmedical 127 School St Pawtucket RI 02860 Ph: (401) 475-3040 |
| NPI Number | 1972096923 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 08/03/2020 |
| Medicare PECOS PAC ID | 6406106533 |
|---|---|
| Medicare Enrollment ID | O20180911000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972096923 | NPI | - | NPPES |
| 1104110030 | Medicaid | RI | |
| 1679512354 | Medicaid | RI | |
| 1265631972 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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