Individual
LENA I BEDRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
535 JACK WARNER PKWY NE, SUITE K, TUSCALOOSA, AL 35404-5751
(205) 758-6471
(205) 758-6472
Mailing address
535 JACK WARNER PKWY NE, SUITE K, TUSCALOOSA, AL 35404-5751
(205) 758-6471
(205) 758-6472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00026345
AL
208000000X
Pediatrics Physician
Primary
00026345
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104380
—
AL
Enumeration date
10/11/2006
Last updated
09/25/2018
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