Organization
CRENSHAW IMMEDIATE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI F LAWRENSON (OWNER)
(334) 386-0343
Entity
Organization
Contact information
Practice address
101 HOSPITAL CIR, LUVERNE, AL 36049-7329
(334) 386-0343
(334) 386-0382
Mailing address
5303 VAUGHN RD, CREDENTIALING DEPARTMENT, MONTGOMERY, AL 36116-1120
(334) 386-0343
(334) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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