Healthcare Provider Details

I. General information

NPI: 1841586856
Provider Name (Legal Business Name): JENNIFER LAMNECK HEABERLIN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER A LAMNECK D.O.

II. Dates (important events)

Enumeration Date: 06/28/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MEDICAL PARK DR STE B
ASHEVILLE NC
28803-2493
US

IV. Provider business mailing address

1348 WALTON WAY STE 6700
AUGUSTA GA
30901-5111
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-8232
  • Fax: 828-253-4470
Mailing address:
  • Phone: 706-722-4245
  • Fax: 706-722-6985

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number2017-01377
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: