Organization
LAMAR PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE M TRULL (ADMINISTRATOR AND OFFICER)
(205) 662-5784
Entity
Organization
Contact information
Practice address
13530 HIGHWAY 96, MILLPORT, AL 35576-2522
(205) 662-5784
(205) 662-5786
Mailing address
13530 HIGHWAY 96, MILLPORT, AL 35576-2522
(205) 662-5784
(205) 662-5786
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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