NPI | 1114227394 |
---|---|
Doing Business As | RIVERSIDE LLH - WILLIAMSBURG LANDING |
Entity Type | Organization |
Authorized Contact | JAMES LESNICK Vice President 757-594-4006 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2010-10-22 |
Last Update Date | 2014-10-14 |