| NPI | 1164749412 |
|---|---|
| Doing Business As | LAKE AREA PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | DEBBIE T. BREWER Director 877-892-9813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-12-21 |