01D0960530 CLIA NUMBER - LUCIUS B FREEMAN MD

Laboratory Demographics

CLIA Number: 01D0960530

Facility Name: LUCIUS B FREEMAN MD

Facility Address:
645 MCQUEEN SMITH ROAD N SUITE 105
PRATTVILLE, AL
ZIP 36066
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Facility Phone Number: 334 365-5987

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003855560

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D0960530
LAB Type	Physician Office
Facility Name	LUCIUS B FREEMAN MD
Street	645 MCQUEEN SMITH ROAD N SUITE 105
City	PRATTVILLE
State	AL
ZIP	36066
Phone	334 365-5987
CertificateType	4
CertificateEffectiveDate	5/12/2023
CertificateExpirationDate	5/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024