Basic Information
| Provider Information | |||||||||
| NPI: | 1164047445 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LMW HEALTHCARE INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 CHURCH ST S | ||||||||
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| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065191703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036888543 | ||||||||
| FaxNumber: | 2036886005 | ||||||||
| Practice Location | |||||||||
| Address1: | 25 WELLS ST | ||||||||
| Address2: | |||||||||
| City: | WESTERLY | ||||||||
| State: | RI | ||||||||
| PostalCode: | 028912922 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4015966000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2020 | ||||||||
| LastUpdateDate: | 06/11/2020 | ||||||||
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| AuthorizedOfficialLastName: | MESSINA | ||||||||
| AuthorizedOfficialFirstName: | MARY | ||||||||
| AuthorizedOfficialMiddleName: | GERETTE | ||||||||
| AuthorizedOfficialTitleorPosition: | SENIOR REIMBURSEMENT MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2036888543 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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| NPICertificationDate: | 06/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.