Organization Name: | CRENSHAW FAMILY CARE CENTER LLC |
NPI Number: | 1285934315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICTORIA FRANCIS LAWRENSON (MANAGING PARTNER) |
Mailing Address: | 58 Roy Beall Dr Luverne |
State: | AL US |
Postal Code: | 360496800 |
Phone Number: | 3343351225 |
Fax Number: | 3343351217 |
NPI Enumeration Date: | 10/22/2010 |
NPI Last Update Date: | 01/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |