Provider Demographics
NPI:1619355724
Name:LRMC NEUROSURGERY, INC.
Entity Type:Organization
Organization Name:LRMC NEUROSURGERY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIPPE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOCHATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-571-5140
Mailing Address - Street 1:100 MEDICAL PKWY
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78738-5621
Mailing Address - Country:US
Mailing Address - Phone:512-571-5140
Mailing Address - Fax:
Practice Address - Street 1:200 MEDICAL PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78738-1791
Practice Address - Country:US
Practice Address - Phone:512-654-2101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty