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NPI Code Detail

MEDICARE: MILLSBORO FAMILY PRACTICE, P.A.

MEDICARE: MILLSBORO FAMILY PRACTICE, P.A.
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
1207Q00000XFamily Medicine PhysicianC20005747DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
187726OTHERDEUNITED INS. CO.
254540001OTHERDEDELMARVA HEALTH INS. CO.
3876396OTHERDEAETNA INS. CO.
4890562OTHERDEMAMSI INS. CO.
515039OTHERDEMIDATLANTIC INS. CO.
6187037OTHERDECOVENTRY INS. CO.
72208964001OTHERDEAMERIHEALTH INS. CO.
86697853OTHERDECIGNA INS. CO.
923227OTHERDEJOHNS HOPKINS INS. CO.

General Provider Information

NPI Number : 1578566907
Entity Type Code : Organization
Provider Name (Legal Business Name) : MILLSBORO FAMILY PRACTICE, P.A.
Provider Business Mailing Address
First Line : 201 LAUREL RD
Second Line :
City : MILLSBORO
State : DE
Zip : 19966-1732
Country : US
Telephone Number : 302-934-7344
Fax Number : 302-934-7345
Provider Business Practice Location Address
First Line : 201 LAUREL RD
Second Line :
City : MILLSBORO
State : DE
Zip : 19966-1732
Country : US
Telephone Number : 302-934-7344
Fax Number : 302-934-7345
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : DR. LISA ANN MARTIN
Credential : D.O.
Telephone Number : 302-934-7344
Provider Enumeration Date : 05/31/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1750273645 — MELISSA WOODY MSN, RN, FNP-C
Practice Location Address:
28538 DUPONT BLVD
MILLSBORO, DE
19966-4791
Practice Phone: 302-934-5052
Practice Fax: 302-933-0317
1578291738 — PEYTON LECONTE DPT
Practice Location Address:
395 OLD LANDING RD STE 102
MILLSBORO, DE
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Practice Phone: 302-934-3922
Practice Fax: 302-907-4044
1881691442 — DR. JAMES KIRKLAND BEEBE MD
Practice Location Address:
32050 LONG NECK RD
MILLSBORO, DE
19966-6228
Practice Phone: 302-645-3150
Practice Fax: 833-908-2232
1215934245 — HARRY A LEHMAN III M.D.
Practice Location Address:
30265 COMMERCE DR
MILLSBORO, DE
19966-3593
Practice Phone: 302-629-5050
Practice Fax: 302-629-5053
1821097791 — DEBORAH WAURISHUK ARNP
Practice Location Address:
232 MITCHELL ST
MILLSBORO, DE
19966-9412
Practice Phone: 302-316-4190
Practice Fax: 302-366-1093
1720089287 — GEORGES A DAHR MD
Practice Location Address:
32711 LONG NECK RD
MILLSBORO, DE
19966-6678
Practice Phone: 302-945-9730
Practice Fax: 302-945-9732

Directions to “MILLSBORO FAMILY PRACTICE, P.A. ” Practice Location

Language Start Address Practice Location
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