| Lagleva Transitions Mht LLC | |
|
317 Ruth Vista Rd Lexington SC 29073-8628 | |
| (803) 714-3665 | |
| Not Available |
| Full Name | Lagleva Transitions Mht LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 317 Ruth Vista Rd, Lexington, South Carolina |
| Authorized Official Name and Position | Rafael L Lagleva (OWNER) |
| Authorized Official Contact | 8644491182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagleva Transitions Mht LLC 317 Ruth Vista Rd Lexington SC 29073-8628 Ph: (803) 714-3665 | Lagleva Transitions Mht LLC 317 Ruth Vista Rd Lexington SC 29073-8628 Ph: (803) 714-3665 |
| NPI Number | 1144698572 |
|---|---|
| Provider Enumeration Date | 09/02/2015 |
| Last Update Date | 09/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144698572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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