Lavaca Primary Health Systems, LLC
NPI #1235617333 in Tuscaloosa, Alabama
Provider Information
- NPI Number
- 1235617333
- Entity Type
- Organization
- Organization Name
- Lavaca Primary Health Systems, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 31, 2018
- Last Updated
- Jul 31, 2018
Practice Location
- Address
- 3915 PALISADES DR STE C
- City
- Tuscaloosa
- State
- Alabama
- ZIP Code
- 35405-3415
- Phone
- (205) 248-2073
Authorized Official
- Name
- REGINAL N VINES
- Title
- OWNER
- Phone
- (470) 235-9354
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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