Provider Demographics
NPI:1508871955
Name:LAWRENCE I. IWUAMADI
Entity Type:Organization
Organization Name:LAWRENCE I. IWUAMADI
Other - Org Name:AMERICARE MEDICAL SUPPLIES & SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:A
Authorized Official - Last Name:IWUAMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-343-7569
Mailing Address - Street 1:3809 PRINCESS ANNE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-1900
Mailing Address - Country:US
Mailing Address - Phone:757-470-5661
Mailing Address - Fax:757-470-5662
Practice Address - Street 1:3809 PRINCESS ANNE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-1900
Practice Address - Country:US
Practice Address - Phone:757-470-5661
Practice Address - Fax:757-470-5662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA109520-0000-5200332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5744410001Medicare NSC