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Lawrence
J
Lemak
MD
Contract Details
Affinity Orthopedic Specialists
Facility name
Provider ID
P000000982
NPI
1851368757
Tax ID
364907908
Effective Date
4/18/2019
Last Updated
12/5/2019
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
5018 Cahaba River Road
Vestavia, AL 35243
United States
County
Jefferson
Phone
2053975200
(
Phone
)
Billing Details
Address
P.O. Box 54568
Belfast, ME 04915
Billing Phone
2059713610
Specialty Type
Surgery, Orthopedic
Map
Address