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1528053519

NPI Code Detail

MEDICARE: ALETHA LAKAY EDISON MD

MEDICARE: ALETHA LAKAY EDISON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	00024685	AL
2	207Q00000X	Family Medicine Physician	00024685	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51002018	OTHER	AL	BLUE CROSS BLUE SHIELD
2	051513810	OTHER	AL	BCBS
3	51537577	OTHER	AL	BLUE CROSS BLUE SHIELD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528053519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALETHA LAKAY EDISON MD

Provider Business Mailing Address
First Line	:	PO BOX 303
Second Line	:
City	:	GADSDEN
State	:	AL
Zip	:	35902-0303
Country	:	US
Telephone Number	:	256-547-6119
Fax Number	:	256-546-2981

Provider Business Practice Location Address
First Line	:	7583 WALL TRIANA HWY
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35757-8327
Country	:	US
Telephone Number	:	256-547-6119
Fax Number	:	256-546-2981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	05/22/2008

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7583 WALL TRIANA HWY
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Practice Phone: 256-547-6119
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1295772986 — DR. ROGER DALE STANMORE M.D.
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1811934508 — DR. BARBARA BENNETT M.D.
Practice Location Address:

7583 WALL TRIANA HWY
MADISON, AL
35757-8327

Practice Phone: 256-547-6119
Practice Fax: 256-546-2981

1639116320 — MICHAEL D ARROWOOD
Practice Location Address:

7583 WALL TRIANA HWY , SUITE B
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35757-8327

Practice Phone: 256-547-6119
Practice Fax: 256-546-2981

1619914306 — CORA S HALL
Practice Location Address:

7583 WALL TRIANA HWY , SUITE B
MADISON, AL
35757-8327

Practice Phone: 256-547-6119
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1942397781 — DR. LUCYNA OLKOWSKA FRENDI D.M.D.
Practice Location Address:

7561 WALL TRIANA HWY
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Practice Phone: 256-325-0035
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Directions to “ ALETHA LAKAY EDISON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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