Provider Demographics
NPI:1568457646
Name:LYMFLO THERAPIES, INC.
Entity Type:Organization
Organization Name:LYMFLO THERAPIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICITE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-493-1170
Mailing Address - Street 1:2226 NELSON HWY
Mailing Address - Street 2:SUITE H
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7883
Mailing Address - Country:US
Mailing Address - Phone:919-493-1170
Mailing Address - Fax:919-493-1640
Practice Address - Street 1:2226 NELSON HWY
Practice Address - Street 2:SUITE H
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7883
Practice Address - Country:US
Practice Address - Phone:919-493-1170
Practice Address - Fax:919-493-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-15
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0602174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC02699OtherBCBS
NC02699OtherBCBS