Provider Demographics
NPI:1669718672
Name:LRMC ORTHOPEDICS, INC.
Entity type:Organization
Organization Name:LRMC ORTHOPEDICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:KREYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-571-5140
Mailing Address - Street 1:100 MEDICAL PARKWAY
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78738-1782
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 130
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78738-1782
Practice Address - Country:US
Practice Address - Phone:512-654-2677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty