# CRENSHAW IMMEDIATE CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063711695
- **Authorized official:** VICKI F LAWRENSON (OWNER)
- **Authorized official phone:** (334) 386-0343

## Contact information

- **Practice address:** 101 HOSPITAL CIR, LUVERNE, AL 36049-7329
- **Practice address phone:** (334) 386-0343
- **Practice address fax:** (334) 386-0382
- **Mailing address:** 5303 VAUGHN RD, CREDENTIALING DEPARTMENT, MONTGOMERY, AL 36116-1120
- **Mailing address phone:** (334) 386-0343
- **Mailing address fax:** (334) 386-0382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2011
- **Last updated:** 03/22/2011