Organization
CONSULTANTS IN INFECTIOUS DISEASES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE P MARTINELLI M.D. (MANAGING PARTNER)
(806) 795-8150
Entity
Organization
Contact information
Practice address
4404 C 19TH, LUBBOCK, TX 79407
(806) 795-8150
(806) 791-6688
Mailing address
PO BOX 16327, LUBBOCK, TX 79490-6327
(806) 795-8150
(806) 791-6688
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
J3849
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0541920001
PALMETTO GBA
—
01
—
082062301
FIRST CARE STAR
—
05
—
082062301
—
TX
01
—
103131100
FIRST CARE
—
01
—
750678
BCBS HOME INFUSION THERAP
—
01
—
G9939
NEW MEXICO MEDICAID
—
Enumeration date
06/22/2005
Last updated
07/01/2010
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