Family Medicine Of Jefferson City, Llc

LBN: Family Medicine Of Jefferson City, Llc
Family Medicine Of Jefferson City, Llc is an health care organization with primary practice located at 1616 Southridge Dr Suite #203, Jefferson City MO 65109-5677. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medicine Of Jefferson City, Llc can be contacted via phone (573) 659-7300, or through Lavery, Daniel P via phone (573) 659-7300.

Contact Information

Primary practice address
1616 Southridge Dr Suite #203 Jefferson City MO 65109-5677
Phone: (573) 659-7300
Fax: (573) 636-0555
Website:
Map and Directions
Authorized official contact:
Name: Lavery, Daniel P Doctor of Medicine (MD)
Phone: (573) 659-7300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9J28 Missouri

Profile Details

NPI number 1043319957
LBN Legal business name Family Medicine Of Jefferson City, Llc
DBA Doing business as
Authorized official Lavery, Daniel P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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