Lavista Family Medicine in Tucker - Primary Care
Lavista Family Medicine - NPI 1538333497
Lavista Family Medicine is a Primary Care in Tucker, Georgia. Lavista Family Medicine practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Lavista Family Medicine is 1538333497. The last update date is 2013-10-24.
Lavista Family Medicine's current location address is 2012 Harobi Dr, Tucker, Georgia. You can contact this provider via phone number 4043206050 and fax number 4043206080. The mailing address for Lavista Family Medicine is 2012 Harobi Dr, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lavista Family Medicine |
|---|---|
| Address | 2012 Harobi Dr, Tucker, Georgia |
| Phone Number | 4043206050 |
| Fax Number | 4043206080 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FAMILY PRA |
|---|---|
| Authorized Official Name | Gorokhov Mikhail |
| Telephone Number | 4043206050 |
NPI Number Detail
| NPI Number | 1538333497 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2013-10-24 |
Provider Mailing Address Detail
| Address | 2012 Harobi Dr |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300845161 |
| Phone Number | 4043206050 |
| Fax Number | 4043206080 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Care |
|---|---|
| Taxonomy | 261Qp2300X |
| Licence No | 42048 |
|
Definition: Serves as the first point of contact for comprehensive healthcare services. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000662219E | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lavista Family Medicine by the Centers for Medicare & Medicaid Services?
The Lavista Family Medicine has been assigned the NPI (National Provider Identifier) 1538333497 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lavista Family Medicine is physically located?
The Lavista Family Medicine is situated at the following address: 2012 Harobi Dr, Tucker, GA 300845161.
What is the area of specialization for Lavista Family Medicine, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lavista Family Medicine is Primary Care, and the corresponding taxonomy code that categorizes this area of expertise is 261Qp2300X.
When did Lavista Family Medicine receive its 1538333497 assignment?
The Lavista Family Medicine was assigned its 1538333497 on 2008-04-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Lavista Family Medicine's details last updated?
The information pertaining to the Lavista Family Medicine, including its address, specialty, and other details, was most recently updated on 2013-10-24.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY