LW Medical Group Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LW MEDICAL GROUP INC

Practice address

19 S Dixie Hwy
Lake Worth, FL 33460-3727

Phone

(561) 704-6781

Fax

(561) 209-0868

NPI assigned

Aug 22, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randy Herfield

Title

Ceo

Phone

(561) 704-6781

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marcus Anthony Dial, MD

  • Internal Medicine Physician
  • Trinity, FL
  • NPI 1235831363
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1497473789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 N FEDERAL HWY STE 245A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871672",
            "telephone_number": "561-704-6781",
            "fax_number": "561-209-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S DIXIE HWY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334603727",
            "telephone_number": "561-704-6781",
            "fax_number": "561-209-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LW MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "HERFIELD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-704-6781"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Lundi
• Samantha Lusczakoski, APRN
• Alicia Lusk
• Lux Care Holdings, LLC
• Luxottica Retail North America Inc
• LW Pediatric Dentistry PA
• Sophia Dionne Lyn Chinque, ARNP
• Lisa Gestewitz Lynch, MHS, OTR/L
• Lynne Pesklo Speech Therapy Services, Inc
• Jacqueline Cardozo Lyons, OD

• Multi-Specialty Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.