Lrd, Llc | |
1601 Rutherford Ln Ste 200a Austin TX 78754-5125 | |
(512) 900-5828 | |
Not Available |
Full Name | Lrd, Llc |
---|---|
Speciality | Family Medicine |
Location | 1601 Rutherford Ln Ste 200a, Austin, Texas |
Authorized Official Name and Position | John Manning (ADMINISTRATOR) |
Authorized Official Contact | 5129005828 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lrd, Llc 1601 Rutherford Ln Ste 200a Austin TX 78754-5125 Ph: (512) 900-5828 | Lrd, Llc 1601 Rutherford Ln Ste 200a Austin TX 78754-5125 Ph: (512) 900-5828 |
NPI Number | 1255994034 |
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Provider Enumeration Date | 04/17/2019 |
Last Update Date | 04/17/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255994034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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