LAKELAND MEDICAL ASSOCIATES NPI 1528063534

NPI Information

NPI: 1528063534
Provider Name: LAKELAND MEDICAL ASSOCIATES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2047072

Address:
117 MEDICAL CIRCLE
ATHENS, TX
ZIP 75751
Phone: (903) 676-3200
Get Directions

LAKELAND MEDICAL ASSOCIATES is a family medicine in Athens, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAKELAND MEDICAL ASSOCIATES NPI is 1528063534. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

117 MEDICAL CIRCLE
ATHENS, TX
ZIP 75751
Phone: (903) 676-3200
Fax: (903) 676-3277

The provider's authorized official is Ronald W Heine .
The authorized official title is Ce0 and has the following contact phone number (903) 676-3200.

The CLIA number assigned to this NPI record is 45D2047072 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	G3099	TEXAS	No
2	207Q00000X	Family Medicine	J4022	TEXAS	No
3	207Q00000X	Family Medicine	C5043	ARKANSAS	No
4	207Q00000X	Family Medicine	G1367	TEXAS	No
5	207Q00000X	Family Medicine	G2988	TEXAS	No
6	207Q00000X	Family Medicine	H6314	TEXAS	No
7	207Q00000X	Family Medicine	L1095	TEXAS	No
8	207Q00000X	Family Medicine	E4479	TEXAS	No
9	207Q00000X	Family Medicine	F6042	TEXAS	No
10	207Q00000X	Family Medicine	C4956	ARKANSAS	No
11	207Q00000X	Family Medicine	L0856	TEXAS	No
12	207Q00000X	Family Medicine	M0239	TEXAS	No
13	207Q00000X	Family Medicine	E7871	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00D969	OTHER	TEXAS	BCBS GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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