| NPI | 1164850053 |
|---|---|
| Doing Business As | RICHARD A WEBBER DBA LAKE CITY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | KELLEY BRAULT Office Manager 518-561-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 210018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 210018) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2014-01-17 |