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NPI Code Detail

MEDICARE: LRMC NEUROSURGERY, INC.

MEDICARE: LRMC NEUROSURGERY, INC.
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
1207T00000XNeurological Surgery Physician

General Provider Information

NPI Number : 1619355724
Entity Type Code : Organization
Provider Name (Legal Business Name) : LRMC NEUROSURGERY, INC.
Provider Business Mailing Address
First Line : 100 MEDICAL PKWY
Second Line :
City : LAKEWAY
State : TX
Zip : 78738-5621
Country : US
Telephone Number : 512-571-5140
Fax Number :
Provider Business Practice Location Address
First Line : 200 MEDICAL PKWY
Second Line : SUITE 310
City : LAKEWAY
State : TX
Zip : 78738-1791
Country : US
Telephone Number : 512-654-2101
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. PHILIPPE BOCHATON
Credential :
Telephone Number : 512-571-5140
Provider Enumeration Date : 05/08/2015
Last Update Date : 05/08/2015

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Directions to “LRMC NEUROSURGERY, INC. ” Practice Location

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