| NPI | 1225556442 |
|---|---|
| Doing Business As | LRI SOUTH |
| Entity Type | Organization |
| Authorized Contact | HONG LOSSING Administrator 352-746-0041 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |