Provider Demographics
NPI:1194196311
Name:ASHEVILLE PAIN RELIEF CENTER PC
Entity Type:Organization
Organization Name:ASHEVILLE PAIN RELIEF CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LESCO
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-785-1575
Mailing Address - Street 1:5 YORKSHIRE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2751
Mailing Address - Country:US
Mailing Address - Phone:828-785-1575
Mailing Address - Fax:828-348-5527
Practice Address - Street 1:5 YORKSHIRE ST
Practice Address - Street 2:SUITE B
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2751
Practice Address - Country:US
Practice Address - Phone:828-785-1575
Practice Address - Fax:828-348-5527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty