Provider Demographics
NPI:1962130237
Name:LAMAR FAMILY MEDICINE
Entity type:Organization
Organization Name:LAMAR FAMILY MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP-C
Authorized Official - Prefix:
Authorized Official - First Name:KATLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:205-695-0106
Mailing Address - Street 1:45020 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:AL
Mailing Address - Zip Code:35592-5636
Mailing Address - Country:US
Mailing Address - Phone:205-695-0106
Mailing Address - Fax:
Practice Address - Street 1:45020 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:AL
Practice Address - Zip Code:35592-5636
Practice Address - Country:US
Practice Address - Phone:205-695-0106
Practice Address - Fax:205-395-0502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty