Lake Spring Emergency Group, LLC

NPI #1215429600 in Salem, Virginia

Provider Information

NPI Number: 1215429600
Entity Type: Organization
Organization Name: Lake Spring Emergency Group, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 1, 2018
Last Updated: Mar 23, 2022

Practice Location

Address: 1900 ELECTRIC RD
City: Salem
State: Virginia
ZIP Code: 24153-7474
Phone: (540) 776-4000

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (337) 609-1221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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