LAKESIDE FAMILY MEDICINE PLLC

MANY, LA
NPI1083879225
Entity TypeOrganization
Authorized ContactKAY NELSON
Physician/Owner
318-256-6465
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  12198R)
Enumeration Date2008-07-28
Last Update Date2008-07-28
Business Address
LAKESIDE FAMILY MEDICINE PLLC
12060 TEXAS HWY
MANY, LA 71449-5605
Phone number: 318-256-6465
Mailing Address
LAKESIDE FAMILY MEDICINE PLLC
12060 TEXAS HWY
MANY, LA 71449-5605
Phone number: