Organization
CRENSHAW FAMILY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI F LAWRENSON (MEMBER/MANAGER)
(334) 386-0343
Entity
Organization
Contact information
Practice address
58 ROY BEALL DR, LUVERNE, AL 36049-6800
(334) 335-1212
Mailing address
PO BOX 5013, MONTGOMERY, AL 36103-5013
(334) 386-0343
(334) 386-0382
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
10/13/2011
Last updated
06/07/2012
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