LAKESHORE PEDIATRICS OF RUSSELLVILLE

RUSSELLVILLE, AL
NPI1194907394
Entity TypeOrganization
Authorized ContactAGUSTIN RIVAS
Owner
256-386-4151
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: AL  2006323)
Enumeration Date2007-11-29
Last Update Date2007-11-29
Business Address
LAKESHORE PEDIATRICS OF RUSSELLVILLE
603 GANDY ST NE
RUSSELLVILLE, AL 35653-1911
Phone number: 256-331-5055
Mailing Address
LAKESHORE PEDIATRICS OF RUSSELLVILLE
1120 S JACKSON HWY SUITE 304
SHEFFIELD, AL 35660-5777
Phone number: 256-386-4151
Similar providers in Russellville, AL
RIZK M ABDEL MOUTAGALY