| Mr Lanny Lee Monroe Jr, MD | |
|
105 Yadkin St, Suite 303, Albemarle, NC 28001-3449 | |
| (704) 982-2683 | |
| (704) 512-4838 |
| Full Name | Mr Lanny Lee Monroe Jr |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 105 Yadkin St, Albemarle, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033156245 | NPI | - | NPPES |
| 00539702 | Medicaid | MS | |
| 1033156245 | Medicaid | NC | |
| 5904693 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2006-00501 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 200600501 (North Carolina) | Primary |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Lanny Lee Monroe Jr, MD Po Box 601888, Charlotte, NC 28260-1888 Ph: (704) 982-2683 | Mr Lanny Lee Monroe Jr, MD 105 Yadkin St, Suite 303, Albemarle, NC 28001-3449 Ph: (704) 982-2683 |
Dr. Tanya Russo, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Suite 303, Albemarle, NC 28001 Phone: 803-532-2208 | |
Dr. Linda Williamson Lawrence, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1420 Us Highway 52 North, Suite A, Albemarle, NC 28001 Phone: 704-982-5437 | |
Kristina L. Kelly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Ste 303, Albemarle, NC 28001 Phone: 980-323-5400 | |
Lamonica Barnum, Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Suite 303, Albemarle, NC 28001 Phone: 980-323-5400 | |
Dr. Susan Carol Watson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1420 Us Highway 52 North, Suite A, Albemarle, NC 28001 Phone: 704-982-5437 Fax: 704-982-4843 | |
Elaine M Coats, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 105 Yadkin St, Ste 303, Albemarle, NC 28001 Phone: 980-323-5400 |