Organization
LAKEVIEW INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMINE FIORENTINO M.D. (PRESIDENT)
(864) 985-1122
Entity
Organization
Contact information
Practice address
223 MAIN ST, SENECA, SC 29678-3245
(864) 985-1122
(864) 985-1817
Mailing address
P O BOX 577, SENECA, SC 29679-0577
(864) 985-1122
(864) 985-1817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18959
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2702
—
SC
Enumeration date
06/04/2006
Last updated
03/06/2017
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