| NPI | 1013559343 |
|---|---|
| Doing Business As | LCH- PEDS PAGE FIELD |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN SPENCE CFO 239-343-6014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2024-02-23 |