| Altivitas, Pc | |
|
1049 Main St West Barnstable MA 02668-1152 | |
| (508) 744-7105 | |
| (866) 711-4542 |
| Full Name | Altivitas, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1049 Main St, West Barnstable, Massachusetts |
| Authorized Official Name and Position | Lindsay Lacorte (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5087377196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altivitas, Pc 1049 Main St West Barnstable MA 02668-1152 Ph: (508) 744-7105 | Altivitas, Pc 1049 Main St West Barnstable MA 02668-1152 Ph: (508) 744-7105 |
| NPI Number | 1003653544 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 03/07/2025 |
| Certification Date | 03/07/2025 |
| Medicare PECOS PAC ID | 6103366406 |
|---|---|
| Medicare Enrollment ID | O20240913000786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003653544 | NPI | - | NPPES |
| Provider Name | Lindsay R Lacorte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285999250 PECOS PAC ID: 8325332430 Enrollment ID: I20181119000594 |
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