Laraine Kiser (NPI# 1194208355, PAC ID# 6103179882) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194208355 |
| PAC ID by PECOS | 6103179882 |
| Professional Enrollment ID | I20181025002592 |
| Full Name | Laraine Kiser |
| Organization Legal Name | BUFFALO LAKE MEDICAL PLLC |
| Address |
181 Mittie Haddock Dr Cameron NC 28326-9379 |
| Phone Number | 9198425566 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3476875113 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 181 Mittie Haddock Dr, Cameron, NC 28326-9379 | 9198425566 | BUFFALO LAKE MEDICAL PLLC |
| Organization Legal Name | BUFFALO LAKE MEDICAL PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronnita E Holden | Physician Assistant | Buffalo Lake Medical Pllc | 181 Mittie Haddock Dr, Cameron, NC 28326-9379 |
| Gary S Tate | Physician Assistant | Buffalo Lake Medical Pllc | 181 Mittie Haddock Dr, Cameron, NC 28326-9379 |
| Street Address |
181 MITTIE HADDOCK DR |
| City | CAMERON |
| State | NC |
| Zip | 28326-9379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronnita E Holden | Physician Assistant | Buffalo Lake Medical Pllc | 181 Mittie Haddock Dr, Cameron, NC 28326-9379 |
| Gary S Tate | Physician Assistant | Buffalo Lake Medical Pllc | 181 Mittie Haddock Dr, Cameron, NC 28326-9379 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David H Fonke | Chiropractic | 1570 Hwy 24/87, Cameron, NC 28326 | |
| Lisa A Parke | Optometry | 1524 Nc Hwy 24 87, Cameron, NC 28326-9424 |
| City | CAMERON |
| Zip Code | 28326 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CAMERON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laraine Kiser.
| 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.