| NPI | 1114614518 |
|---|---|
| Doing Business As | LAKEWOOD CLINIC |
| Entity Type | Organization |
| Authorized Contact | HASSAN MUSA ALI Director Of Billing 919-956-4508 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |