LYMPHEDEMA MANAGEMENT OF WILMINGTON P.C. NPI 1437484813

NPI Information

NPI: 1437484813
Provider Name: LYMPHEDEMA MANAGEMENT OF WILMINGTON, P.C.

Former Legal Business Name: ALICIA DONATONE OTR/L P.C.

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
219 RACINE DR
SUITE C
WILMINGTON, NC
ZIP 28403
Phone: (910) 392-3986
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LYMPHEDEMA MANAGEMENT OF WILMINGTON, P.C. is a rehabilitation clinic center in Wilmington, NC. LYMPHEDEMA MANAGEMENT OF WILMINGTON, P.C. NPI is 1437484813. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Alicia Donatone Otr/l P.c..

The provider's business location address is:

219 RACINE DR
SUITE C
WILMINGTON, NC
ZIP 28403-827
Phone: (910) 392-3986
Fax: (910) 392-3986

The provider's authorized official is Alicia Donatone .
The authorized official title is President and has the following contact phone number (910) 392-3986.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	2183	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7301815	MEDICAID	NORTH CAROLINA
2	1292T	OTHER		BCBS
3	1639157019	OTHER	NORTH CAROLINA	INDIVIDUAL NPI NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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