| NPI | 1013327527 |
|---|---|
| Doing Business As | LAKESIDE NORTH |
| Entity Type | Organization |
| Authorized Contact | NAKITA MEREDITH Practice Manager 256-571-8581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2020-02-24 |