| NPI | 1275171357 |
|---|---|
| Doing Business As | AVAIL LC PHYSICIAN GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | PATTY CROCHET Billing Office Manager 373-656-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2019-12-19 |