Lake Butler Medical Clinic Inc

LBN: Lake Butler Medical Clinic Inc
Lake Butler Medical Clinic Inc is an health care organization with primary practice located at 675 E Main St , Lake Butler FL 32054-1352. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Lake Butler Medical Clinic Inc can be contacted via phone (386) 496-1328, or through Lloyd, Martha Regina via phone (386) 496-1328.

Contact Information

Primary practice address
675 E Main St Lake Butler FL 32054-1352
Phone: (386) 496-1328
Fax: (386) 496-2227
Website:
Map and Directions
Authorized official contact:
Name: Lloyd, Martha Regina Doctor of Medicine (MD)
Phone: (386) 496-1328

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X ME81421 Florida

Profile Details

NPI number 1871582296
LBN Legal business name Lake Butler Medical Clinic Inc
DBA Doing business as
Authorized official Lloyd, Martha Regina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2005
Last updated Jun 29th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871582296 NPPES
Florida MEDICAID 266578600

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