| NPI | 1245809896 |
|---|---|
| Doing Business As | LAKESIDE NORTH |
| Entity Type | Organization |
| Authorized Contact | DAVID CAMPBELL President 256-571-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2021-06-18 |