| Lpmd, Inc | |
|
400 Newport Center Dr Ste 707 Newport Beach CA 92660-8605 | |
| (949) 720-8098 | |
| Not Available |
| Full Name | Lpmd, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Newport Center Dr Ste 707, Newport Beach, California |
| Authorized Official Name and Position | Lauren Patty (CEO) |
| Authorized Official Contact | 9497208098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lpmd, Inc 575 Donovan Ln Costa Mesa CA 92627-8700 Ph: (808) 631-1991 | Lpmd, Inc 400 Newport Center Dr Ste 707 Newport Beach CA 92660-8605 Ph: (949) 720-8098 |
| NPI Number | 1154056638 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 03/29/2024 |
| Medicare PECOS PAC ID | 1951784172 |
|---|---|
| Medicare Enrollment ID | O20220819001574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154056638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lauren D Patty |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598129801 PECOS PAC ID: 3173878105 Enrollment ID: I20220819001611 |
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