Craig Daniel Lariscy (NPI# 1225005226, PAC ID# 3779524467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
Nation Provider ID (NPI) | 1225005226 |
PAC ID by PECOS | 3779524467 |
Professional Enrollment ID | I20050512000420 |
Full Name | Craig Daniel Lariscy |
Organization Legal Name | LAKELAND PATHOLOGISTS, PA |
Address |
1125 Bartow Rd Suite 101 Lakeland FL 33801-5845 |
Phone Number | 8636837171 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
Graduation Year | 1994 |
Primary Specialty | PATHOLOGY |
Group Practice PAC ID | 3274428982 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100157 | LAKELAND REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1125 Bartow Rd, Suite 101, Lakeland, FL 33801-5845 | 8636837171 | LAKELAND PATHOLOGISTS, PA |
Organization Legal Name | LAKELAND PATHOLOGISTS, PA |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Timothy J Dickason | Pathology | Lakeland Pathologists, Pa | 1125 Bartow Rd, Suite 101, Lakeland, FL 33801-5845 |
Ricardo E Duque | Pathology | Lakeland Pathologists, Pa | 1324 Lakeland Hill Blvd, Lakeland, FL 33805-4543 |
Evander Boynton | Pathology | Lakeland Pathologists, Pa | 1125 Bartow Rd, Suite 101, Lakeland, FL 33801-5845 |
Brian J Yoder | Pathology | Lakeland Pathologists, Pa | 1125 Bartow Rd, Suite 101, Lakeland, FL 33801-5845 |
Christopher Adam Rubadue | Pathology | Lakeland Pathologists, Pa | 1324 Lakeland Hill Blvd, Lakeland, FL 33805-4543 |
Street Address |
1125 BARTOW RD SUITE 101 |
City | LAKELAND |
State | FL |
Zip | 33801-5845 |
Name | Specialty | Organization | Address |
---|---|---|---|
Timothy J Dickason | Pathology | Lakeland Pathologists, Pa | 1125 Bartow Rd, Suite 101, Lakeland, FL 33801-5845 |
Evander Boynton | Pathology | Lakeland Pathologists, Pa | 1125 Bartow Rd, Suite 101, Lakeland, FL 33801-5845 |
Brian J Yoder | Pathology | Lakeland Pathologists, Pa | 1125 Bartow Rd, Suite 101, Lakeland, FL 33801-5845 |
Name | Specialty | Organization | Address |
---|---|---|---|
Barbara Valerie Davis | Clinical Social Worker | 231 N Kentucky Ave, Suite 210, Lakeland, FL 33801-4910 | |
David A Hernandez | Clinical Social Worker | 215 E Bay St, Suite 2, Lakeland, FL 33801-4983 | |
William Vargas | Anesthesiology | Pain Medicine Inc | 541 S Florida Ave, Lakeland, FL 33801-5228 |
Saqib B Khan | Interventional Pain Management | Pain Medicine Inc | 541 S Florida Ave, Lakeland, FL 33801-5228 |
Mary Lynn Pepine | Dermatology | 727 S Florida Ave, Lakeland, FL 33801-5232 | |
Andrea L Beale | Nurse Practitioner | Lakeland Regional Health Systems Inc | 500 S Florida Ave, Suite 210, Lakeland, FL 33801-5252 |
Patricia A Landreth | Psychiatry | Lakeland Regional Health Systems Inc | 500 S Florida Ave, Suite 210, Lakeland, FL 33801-5252 |
Thane Htun | Critical Care (intensivists) | Lakeland Regional Health Systems Inc | 500 S Florida Ave, Suite 210, Lakeland, FL 33801-5252 |
Sami K Baddoura | Cardiovascular Disease (cardiology) | Lakeland Regional Health Systems Inc | 500 S Florida Ave, Suite 210, Lakeland, FL 33801-5252 |
Ankur Kumar Goyal | Psychiatry | Lakeland Regional Health Systems Inc | 500 S Florida Ave, Suite 210, Lakeland, FL 33801-5252 |
Find all physicians in zip 33801 |
City | LAKELAND |
Zip Code | 33801 |
Specialty | PATHOLOGY |
City + Specialty | LAKELAND + PATHOLOGY |
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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.