| Lunceford Family Health Center P.c. | |
|
7865 Educators Ln Suite 300 Memphis TN 38133-8191 | |
| (901) 384-9920 | |
| (901) 937-7879 |
| Full Name | Lunceford Family Health Center P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7865 Educators Ln, Memphis, Tennessee |
| Authorized Official Name and Position | Shoaib Qureshi (OWNER) |
| Authorized Official Contact | 9013849920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lunceford Family Health Center P.c. 7865 Educators Ln Suite 300 Memphis TN 38133-8191 Ph: (901) 384-9920 | Lunceford Family Health Center P.c. 7865 Educators Ln Suite 300 Memphis TN 38133-8191 Ph: (901) 384-9920 |
| NPI Number | 1184711590 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 05/01/2020 |
| Medicare PECOS PAC ID | 9931165636 |
|---|---|
| Medicare Enrollment ID | O20100901000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184711590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Tennessee) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Shoaib Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417056250 PECOS PAC ID: 9133222995 Enrollment ID: I20070315000192 |
| Provider Name | Imran Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679599922 PECOS PAC ID: 7416081419 Enrollment ID: I20100812000620 |
| Provider Name | Mordecia D Dickenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629413091 PECOS PAC ID: 5496992612 Enrollment ID: I20130507000688 |
| Provider Name | Robyn Vanderford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437334216 PECOS PAC ID: 6305065962 Enrollment ID: I20160330002504 |
| Provider Name | Timberlyn M Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932551850 PECOS PAC ID: 1153602040 Enrollment ID: I20170109001860 |
| Provider Name | Lauren Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023427952 PECOS PAC ID: 5193027746 Enrollment ID: I20171122001569 |
| Provider Name | Kayla S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922611854 PECOS PAC ID: 3870905300 Enrollment ID: I20201207002601 |
| Provider Name | Mary L Wigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538806591 PECOS PAC ID: 4981086428 Enrollment ID: I20220801001884 |
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