NPI | 1245097898 |
---|---|
Doing Business As | LAKEWOOD INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | EMILY CASTILLO Regional Medical Staff Manager 702-579-3253 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2024-02-29 |
Last Update Date | 2024-02-29 |