Provider Demographics
NPI:1730401944
Name:LOU MAUNEY DO INC
Entity type:Organization
Organization Name:LOU MAUNEY DO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOU
Authorized Official - Middle Name:
Authorized Official - Last Name:MAUNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:239-283-5200
Mailing Address - Street 1:10484 STRINGFELLOW RD
Mailing Address - Street 2:
Mailing Address - City:ST JAMES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33956-3208
Mailing Address - Country:US
Mailing Address - Phone:239-283-5200
Mailing Address - Fax:239-283-7620
Practice Address - Street 1:10484 STRINGFELLOW RD
Practice Address - Street 2:
Practice Address - City:ST JAMES CITY
Practice Address - State:FL
Practice Address - Zip Code:33956-3208
Practice Address - Country:US
Practice Address - Phone:239-283-5200
Practice Address - Fax:239-283-7620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center