Lanneau D Lide (NPI# 1073549291, PAC ID# 6103990163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1073549291 |
| PAC ID by PECOS | 6103990163 |
| Professional Enrollment ID | I20080808000506 |
| Full Name | Lanneau D Lide |
| Organization Legal Name | PROVIDENCE GROUP PRACTICES LLC |
| Address |
2001 Laurel St Columbia SC 29204-1018 |
| Phone Number | 8032543278 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 4284930272 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2001 Laurel St, Columbia, SC 29204-1018 | 8032543278 | PROVIDENCE GROUP PRACTICES LLC |
| Organization Legal Name | PROVIDENCE GROUP PRACTICES LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelly C Wilkerson | Nurse Practitioner | Providence Group Practices LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Anne Marie Hendrix | Physician Assistant | Providence Group Practices LLC | 1330 Haile St, Camden, SC 29020-3002 |
| Street Address |
2001 LAUREL ST |
| City | COLUMBIA |
| State | SC |
| Zip | 29204-1018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Jaynes Belk | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Benedict R Studnicka | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Charis P Taylor | Internal Medicine | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Brittany Winestock | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Susan K Caudle | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Stephen Mullaney | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Ala Bianca Naomi Lucky | Nurse Practitioner | Providence Group Practices II LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Kaitlin N Corwin | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Stephanie C Peterson | Physician Assistant | Providence Physician Practices, LLC | 2001 Laurel St, Suite 300, Columbia, SC 29204-1018 |
| Louise Holmes | Nurse Practitioner | Providence Physician Practices, LLC | 2001 Laurel St, Columbia, SC 29204-1018 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison Stroughton Moore | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Suite B, Columbia, SC 29204-1800 |
| Shanda Hill | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Petra Edwards | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Jordan Polk | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Ernest A Alleyne | Family Medicine | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Suite C, Columbia, SC 29204-1800 |
| Rosa M Castillo-schilder | Obstetrics/gynecology | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Augustus Rodgers | Clinical Social Worker | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Deborah J Davis | Obstetrics/gynecology | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Nita Thapa | Obstetrics/gynecology | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Allison Murrell | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 1228 Harden St, Columbia, SC 29204-1800 |
| Find all physicians in zip 29204 | |||
| City | COLUMBIA |
| Zip Code | 29204 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | COLUMBIA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Lanneau D Lide.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.