| NPI | 1154414159 |
|---|---|
| Doing Business As | LAKELAND EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN A DORSETT President 863-688-5604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-09-14 |