| Organization Name: | CRENSHAW FAMILY CARE CENTER, LLC |
| NPI Number: | 1154606861 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKI F LAWRENSON (MEMBER/MANAGER) |
| Mailing Address: | 58 Roy Beall Dr Luverne |
| State: | AL US |
| Postal Code: | 360496800 |
| Phone Number: | 3343351212 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2011 |
| NPI Last Update Date: | 06/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |