| NPI | 1043252356 |
|---|---|
| Doing Business As | LAKELAND UROLOGY |
| Entity Type | Organization |
| Authorized Contact | VINCENT CUBELLI Sole Member 973-627-3411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |