LAKEVICK LLC NPI 1730611419

NPI Details

LAKEVICK LLC is a clinic center in Doylestown, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LAKEVICK LLC NPI is 1730611419. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Vickery Vaccine Services.

The provider's business location address is:

1980 S EASTON RD
DOYLESTOWN, PA
ZIP 18901-103
Phone: (267) 640-6733
Fax: (267) 483-8795

The provider's authorized official is James H Vickery .
The authorized official title is Owner/pharmacist and has the following contact phone number (215) 348-9711.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home (HCPCS:M0201)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)

The enumeration date for this NPI number is 3/31/2017 and was last updated on 11/20/2024.

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: