Laurence V Hicks (NPI# 1730283250, PAC ID# 7719922475) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730283250 |
| PAC ID by PECOS | 7719922475 |
| Professional Enrollment ID | I20050622001372 |
| Full Name | Laurence V Hicks |
| Organization Legal Name | FALLS CENTRE FOR FUNCTIONAL MEDICINE PLLC |
| Address |
236 Martin St Twin Falls ID 83301-4542 |
| Phone Number | 2087334444 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4880954197 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| 131326 | CASSIA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 236 Martin St, Twin Falls, ID 83301-4542 | 2087334444 | FALLS CENTRE FOR FUNCTIONAL MEDICINE PLLC |
| Organization Legal Name | FALLS CENTRE FOR FUNCTIONAL MEDICINE PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey N Hicks | Nurse Practitioner | Falls Centre for Functional Medicine Pllc | 236 Martin St, Twin Falls, ID 83301-4542 |
| Street Address |
236 MARTIN ST |
| City | TWIN FALLS |
| State | ID |
| Zip | 83301-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey N Hicks | Nurse Practitioner | Falls Centre for Functional Medicine Pllc | 236 Martin St, Twin Falls, ID 83301-4542 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Etcheto | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Daniel M Wettstein | Podiatry | 176 Falls Ave, Suite 200, Twin Falls, ID 83301-2306 | |
| Clinton L Dille | Anesthesiology | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Benjamin W Attebury | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Johnny M Urrutia | Physician Assistant | Southern Idaho Pain Institute P.C. | 176 Falls Ave, Twin Falls, ID 83301-2306 |
| Ronald E Mcgarrigle | Anesthesiology | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Tammy L Emerson | Qualified Speech Language Pathologist | 450 Falls Ave, Twin Falls, ID 83301-2307 | |
| Todd G Hastings | Preventative Medicine | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Thomas W Dirocco | Hospitalist | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Mark J Edlund | Psychiatry | St Luke's Clinic LLC | 450 Falls Ave, Suite 202, Twin Falls, ID 83301-2307 |
| Find all physicians in zip 83301 | |||
| City | TWIN FALLS |
| Zip Code | 83301 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TWIN FALLS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Laurence V Hicks.
| 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.