MEDICARE: LRMC ORTHOPEDICS, 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
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1669718672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LRMC ORTHOPEDICS, INC.

Provider Business Mailing Address
First Line	:	100 MEDICAL PARKWAY
Second Line	:
City	:	LAKEWAY
State	:	TX
Zip	:	78738-1782
Country	:	US
Telephone Number	:	512-571-5140
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MEDICAL PKWY
Second Line	:	SUITE 130
City	:	LAKEWAY
State	:	TX
Zip	:	78738-1782
Country	:	US
Telephone Number	:	512-654-2677
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MR. DAVID J. KREYE
Credential	:
Telephone Number	:	512-571-5140

Provider Enumeration Date	:	12/19/2012
Last Update Date	:	12/19/2012

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