| Lawrence H Neville, MD | |
|
1615 Delaware St, Longview, WA 98632-2310 | |
| (360) 636-4814 | |
| (360) 414-7965 |
| Full Name | Lawrence H Neville |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1615 Delaware St, Longview, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134124639 | NPI | - | NPPES |
| 8905955 | Other | WA | CRIME VICTIMS |
| 022559 | Medicaid | OR | |
| 196953 | Other | WA | LABOR & IND. |
| 8402265 | Medicaid | WA | |
| P00256993 | Other | RR MEDICARE |
| Entity Name | Legacy Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence H Neville, MD Po Box 249, Longview, WA 98632-7154 Ph: () - | Lawrence H Neville, MD 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 636-4814 |
Baljinder Singh, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Clifford J Schostal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4814 Fax: 360-414-7965 | |
Robert C Axelrod, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2788 | |
Dr. Yehonatan Shilo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Broadway St, Longview, WA 98632 Phone: 360-414-2236 Fax: 360-414-2024 | |
Monica Romero, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Commerce Ave, Longview, WA 98632 Phone: 360-998-2047 | |
Tsz-ming Chow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 |