| NPI | 1134386543 |
|---|---|
| Doing Business As | LAKESHORE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | V JAMES FIORENZO President 814-877-6588 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |