Organization Name: | LCD MEDICAL, PLLC |
NPI Number: | 1760859516 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT DEUCHER (OWNER) |
Mailing Address: | 4800 Vass Carthage Rd Carthage |
State: | NC US |
Postal Code: | 283277028 |
Phone Number: | 9106901210 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2015 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |