Graduated: 2025
NPI: 1538847264
Practice Locations (3)
429 LORRAINE RD, SUITE 409
LAKEWOOD RANCH, FL 342029010
PO BOX
SPRINGFIELD, IL 62708
7001 BLACK RIDGE DR
EL PASO, TX 799127240
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Graduated: 2025
NPI: 1538847264
429 LORRAINE RD, SUITE 409
LAKEWOOD RANCH, FL 342029010
PO BOX
SPRINGFIELD, IL 62708
7001 BLACK RIDGE DR
EL PASO, TX 799127240
Source: CMS National Downloadable File, September 2026.