| NPI | 1154556785 |
|---|---|
| Doing Business As | LAKESIDE SLEEP CENTER |
| Entity Type | Organization |
| Authorized Contact | CORTNIE RENEE WELLMAN Owner 936-582-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 225B00000X Pulmonary Function Technologist | |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2022-06-03 |