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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X |
| NPI # | 1528143385 |
| LBN Legal business name | LLFAGANMD LLC |
| Authorized official | LYNNE FAGAN - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/27/2006 |
| Last updated | 03/24/2018 - About 8 years ago |
| Identifiers | n/a |
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LLFAGANMD LLC