Organization Name: | NAVAL HOSPITAL LEMOORE |
NPI Number: | 1497152045 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA REESE-CONVER (MEDICAL STAFF SERVICES PROFESSIONAL) |
Mailing Address: | 937 Franklin Avenue Fpo |
State: | AA US |
Postal Code: | 93246 |
Phone Number: | 5599984262 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2014 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | 5831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |