Briana M Lackman (NPI# 1265915268, PAC ID# 0345580171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1265915268 |
| PAC ID by PECOS | 0345580171 |
| Professional Enrollment ID | I20190314000632 |
| Full Name | Briana M Lackman |
| Organization Legal Name | ASTHMA AND ALLERGY PHYSICIANS OF RHODE ISLAND INC |
| Address |
2 Wake Robin Rd Lincoln RI 02865-4295 |
| Phone Number | 4013340410 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1951490481 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410009 | KENT COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2 Wake Robin Rd, Lincoln, RI 02865-4295 | 4013340410 | ASTHMA AND ALLERGY PHYSICIANS OF RHODE ISLAND INC |
| Organization Legal Name | ASTHMA AND ALLERGY PHYSICIANS OF RHODE ISLAND INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elena Lvov | Nurse Practitioner | Asthma and Allergy Physicians of Rhode Island Inc | 2 Wake Robin Rd, Lincoln, RI 02865-4295 |
| John F Zwetchkenbaum | Allergy/immunology | Asthma and Allergy Physicians of Rhode Island Inc | 2 Wake Robin Rd, Lincoln, RI 02865-4295 |
| Amanda H Matteson | Physician Assistant | Asthma and Allergy Physicians of Rhode Island Inc | 2 Wake Robin Rd, Lincoln, RI 02865-4295 |
| Deborah Katcher-buckley | Nurse Practitioner | Asthma and Allergy Physicians of Rhode Island Inc | 2 Wake Robin Rd, Lincoln, RI 02865-4295 |
| Street Address |
2 WAKE ROBIN RD |
| City | LINCOLN |
| State | RI |
| Zip | 02865-4295 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elena Lvov | Nurse Practitioner | Asthma and Allergy Physicians of Rhode Island Inc | 2 Wake Robin Rd, Lincoln, RI 02865-4295 |
| Jean F Smith | Internal Medicine | Frank Michael D'alessandro Md Inc | 2 Wake Robin Rd, Suite 103, Lincoln, RI 02865-4241 |
| John F Zwetchkenbaum | Allergy/immunology | Asthma and Allergy Physicians of Rhode Island Inc | 2 Wake Robin Rd, Lincoln, RI 02865-4295 |
| Cynthia A Gagne | Physical Therapy | D and H Therapy Associates LLC | 2 Wake Robin Rd, Unit 101, Lincoln, RI 02865-4241 |
| Deborah M Valletta | Clinical Social Worker | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Alfred H Liddle Iii | Physician Assistant | Frank Michael D'alessandro Md Inc | 2 Wake Robin Rd, Suite 103, Lincoln, RI 02865-4241 |
| Richard D Smith | Addiction Medicine | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Robert P Duprey | Nurse Practitioner | Prospect Chartercare Sjhsri, LLC | 2 Wake Robin Rd, Fatima Hospital Wound Care Group, Lincoln, RI 02865-4295 |
| Nicole Gail Dahlquist | Nurse Practitioner | Frank Michael D'alessandro Md Inc | 2 Wake Robin Rd, Suite 103, Lincoln, RI 02865-4241 |
| Keith D'alton Shields | Physician Assistant | Frank Michael D'alessandro Md Inc | 2 Wake Robin Rd, Suite 103, Lincoln, RI 02865-4241 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Levick | Cardiovascular Disease (cardiology) | Lifespan Physician Group, Inc. | 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 |
| Tyler John Sliney | Chiropractic | 640 George Washington Hwy, Bldg C Suite 102, Lincoln, RI 02865 | |
| Jan J Penkala | Obstetrics/gynecology | 6 Blackstone Valley Pl, Suite 501, Lincoln, RI 02865-1101 | |
| Mohammad Jamali | Physical Therapy | Orthopedics Rhode Island, Inc | 6 Blackstone Valley Pl, Lincoln, RI 02865-1102 |
| Richard E Vannieuwenhuize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Michelle C Van Nieuwenhize | Internal Medicine | 6 Blackstone Valley Pl, Suite 305, Lincoln, RI 02865-1112 | |
| Rachel A Baboian | Qualified Audiologist | 6 Blackstone Valley Pl, Suite 307, Lincoln, RI 02865-1112 | |
| Gregory Lazan | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| William T Smith | Internal Medicine | Lincoln Urgent Care Center, Inc. | 2 Wake Robin Rd, Suite 106, Lincoln, RI 02865-1155 |
| Glenda E Byhouwer | Clinical Social Worker | 132 Old River Rd, Suite 300, Lincoln, RI 02865-1158 | |
| Find all physicians in zip 02865 | |||
| City | LINCOLN |
| Zip Code | 02865 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LINCOLN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Briana M Lackman.
| 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.