Organization
LUNG ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA RAMPERTAAP MD (OFFICE MANAGER)
(941) 741-8633
Entity
Organization
Contact information
Practice address
203 3RD AVE E, BRADENTON, FL 34208-1013
(941) 741-8633
(941) 741-8632
Mailing address
203 3RD AVE E, BRADENTON, FL 34208-1013
(941) 741-8633
(941) 741-8632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0053985
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC5225
RAILROAD MEDICARE
FL
Enumeration date
06/27/2007
Last updated
08/22/2007
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