| Lakeview Internal Medicine Pa | |
|
223 Main St Seneca SC 29678-3245 | |
| (864) 985-1122 | |
| (864) 985-1817 |
| Full Name | Lakeview Internal Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 223 Main St, Seneca, South Carolina |
| Authorized Official Name and Position | Carmine Fiorentino (PRESIDENT) |
| Authorized Official Contact | 8649851122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Internal Medicine Pa P O Box 577 Seneca SC 29679-0577 Ph: (864) 985-1122 | Lakeview Internal Medicine Pa 223 Main St Seneca SC 29678-3245 Ph: (864) 985-1122 |
| NPI Number | 1851339329 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 03/06/2017 |
| Medicare PECOS PAC ID | 2466415633 |
|---|---|
| Medicare Enrollment ID | O20041109000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851339329 | NPI | - | NPPES |
| GP2702 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18959 (South Carolina) | Primary |
| Provider Name | Carmine Fiorentino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205874039 PECOS PAC ID: 1658334818 Enrollment ID: I20041109000210 |
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