Lafayette Clinic, Pa in Fayetteville - Pediatric Allergy/immunology
Lafayette Clinic, Pa - NPI 1356455059
Lafayette Clinic, Pa is a Pediatric Allergy/immunology in Fayetteville, North Carolina. Lafayette Clinic, Pa practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Lafayette Clinic, Pa is 1356455059. The last update date is 2008-11-18.
Lafayette Clinic, Pa's current location address is Po Box 43905, Fayetteville, North Carolina. You can contact this provider via phone number 9103231322 and fax number 9103231510. The mailing address for Lafayette Clinic, Pa is Po Box 43905, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lafayette Clinic, Pa |
|---|---|
| Address | Po Box 43905, Fayetteville, North Carolina |
| Phone Number | 9103231322 |
| Fax Number | 9103231510 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Whetsell Wayne Douglas |
| Credentials | M.D. |
| Telephone Number | 9103231322 |
NPI Number Detail
| NPI Number | 1356455059 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2008-11-18 |
Provider Mailing Address Detail
| Address | Po Box 43905 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283093905 |
| Phone Number | 9103231322 |
| Fax Number | 9103231510 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CN6121 | RAILROAD MEDICARE | ||
| 890138G | NC | -- | |
| 0138G | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Lafayette Clinic, Pa's 1356455059?
The Lafayette Clinic, Pa's NPI (National Provider Identifier) Number is 1356455059. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lafayette Clinic, Pa is physically located?
The Lafayette Clinic, Pa is situated at the following address: Po Box 43905, Fayetteville, NC 283093905.
What is Lafayette Clinic, Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lafayette Clinic, Pa is Pediatric Allergy/immunology, and the taxonomy classification code that categorizes this area of expertise is 2080P0201X.
On what date did the Lafayette Clinic, Pa receive the assignment of its 1356455059 from the Centers for Medicare & Medicaid Services?
The Lafayette Clinic, Pa was issued its 1356455059 by the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date were the details pertaining to Lafayette Clinic, Pa last refreshed?
The information related to the Lafayette Clinic, Pa, including its address, specialty, and other relevant details, was last updated on 2008-11-18.