| NPI | 1033974290 |
|---|---|
| Doing Business As | LAKESIDE OBSTETRICS, GYNECOLOGY, & FERTILITY |
| Entity Type | Organization |
| Authorized Contact | MONICA HANNON CEO 415-672-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |