Provider Demographics
NPI:1609116938
Name:LUNG CARE &
Entity Type:Organization
Organization Name:LUNG CARE &
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:K
Authorized Official - Last Name:REHBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-249-6995
Mailing Address - Street 1:315 W FORT WILLIAMS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SYLACAUGA
Mailing Address - State:AL
Mailing Address - Zip Code:35150-2433
Mailing Address - Country:US
Mailing Address - Phone:256-401-0390
Mailing Address - Fax:
Practice Address - Street 1:315 W FORT WILLIAMS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SYLACAUGA
Practice Address - State:AL
Practice Address - Zip Code:35150-2433
Practice Address - Country:US
Practice Address - Phone:256-401-0390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-23
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28075174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALI65130Medicare UPIN