A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Physical Therapy Assistant |
225200000X | |||
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Radiologic Technologist |
247100000X |
| NPI Number | 1649501040 |
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| LBN Legal business name | DOUBLE LUNG PC | ||||
| Authorized official | LARRY BURCHARD - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/25/2010 | ||||
| Last updated | 11/26/2014 - About 12 years ago | ||||
| Identifiers |
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DOUBLE LUNG PC
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