| Lms Medical Llc | |
|
504 Indian Trl Rd Nw Ste 200b Lilburn GA 30047-6848 | |
| (678) 871-6068 | |
| Not Available |
| Full Name | Lms Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 504 Indian Trl Rd Nw Ste 200b, Lilburn, Georgia |
| Authorized Official Name and Position | Dana Lee (OWNER) |
| Authorized Official Contact | 6788716068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lms Medical Llc 4370 Lawrenceville Hwy Nw Unit 846 Lilburn GA 30048-4932 Ph: () - | Lms Medical Llc 504 Indian Trl Rd Nw Ste 200b Lilburn GA 30047-6848 Ph: (678) 871-6068 |
| NPI Number | 1073189775 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/02/2021 |
| Medicare PECOS PAC ID | 9032566286 |
|---|---|
| Medicare Enrollment ID | O20231108003739 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073189775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dana E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659515609 PECOS PAC ID: 9830456052 Enrollment ID: I20171127000857 |
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