LAKESIDE FAMILY PRACTICE PLLC

MORGANTOWN, WV
NPI1205919917
Entity TypeOrganization
Authorized ContactBRIAN W HAWTHORNE
President
304-594-2400
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-10-24
Last Update Date2011-05-09
Business Address
LAKESIDE FAMILY PRACTICE PLLC
933 CHEAT RD
MORGANTOWN, WV 26508-5631
Phone number: 304-594-2400
Mailing Address
LAKESIDE FAMILY PRACTICE PLLC
933 CHEAT RD
MORGANTOWN, WV 26508-5631
Phone number: 304-594-2400
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