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Contact Information

LAFAYETTE CLINIC, PA
2125 VALLEYGATE DR
SUITE 201
FAYETTEVILLE, NC28304-3753
 Phone: 910-323-1322
 Fax: 910-323-1510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAFAYETTE CLINIC, PA

NPI # 1356455059
LBN Legal business name LAFAYETTE CLINIC, PA
Authorized official DOUGLAS WHETSELL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2006
Last updated 11/18/2008 - About 18 years ago
Identifiers
NC Medicaid 890138G
Other 0138G BLUE CROSS BLUE SHIELD
Other CN6121 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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