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Organization

LEHIGH HMA LLC

Active
Other names
Lehigh Regional Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE HOLTSFORD (AUTHORIZED OFFICIAL)
(615) 465-7466
Entity
Organization

Contact information

Practice address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 369-2101
(239) 368-4510
Mailing address
1500 LEE BLVD, LEHIGH ACRES, FL 33936-4835
(239) 369-2101
(239) 368-4510

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
282N00000X
General Acute Care Hospital
Primary
4395
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010111700
FL
01
549
BLUE CROSS
FL
01
DA4247
RAILROAD MEDICARE # FOR LEHIGH GE GROUP
FL
Enumeration date
05/23/2006
Last updated
01/28/2014
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