Lwb Associates Pllc | |
4600 Lake Boone Trl Ste 210 Raleigh NC 27607-7529 | |
(919) 926-8890 | |
Not Available |
Full Name | Lwb Associates Pllc |
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Speciality | Internal Medicine |
Location | 4600 Lake Boone Trl Ste 210, Raleigh, North Carolina |
Authorized Official Name and Position | Michelle Latalza Epstein (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 9199268890 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lwb Associates Pllc 4600 Lake Boone Trl Ste 210 Raleigh NC 27607-7529 Ph: (919) 926-8890 | Lwb Associates Pllc 4600 Lake Boone Trl Ste 210 Raleigh NC 27607-7529 Ph: (919) 926-8890 |
NPI Number | 1871155424 |
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Provider Enumeration Date | 07/03/2019 |
Last Update Date | 09/09/2024 |
Medicare PECOS PAC ID | 4789014077 |
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Medicare Enrollment ID | O20200429001661 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871155424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Jennifer Nicol Speri |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1912977919 PECOS PAC ID: 8224095609 Enrollment ID: I20041216001062 |
Provider Name | Ashley Barham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396113296 PECOS PAC ID: 3678882180 Enrollment ID: I20151023001815 |
Provider Name | Ankur Prakash |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1053434860 PECOS PAC ID: 7416918065 Enrollment ID: I20200106002173 |
Provider Name | Micheline Lataliza Epstein |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417245382 PECOS PAC ID: 1153640594 Enrollment ID: I20200429001719 |
Provider Name | Joshua Allen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053041418 PECOS PAC ID: 5193180974 Enrollment ID: I20230501000691 |
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