| NPI | 1275577603 |
|---|---|
| Doing Business As | LAKE PRIMARY CARE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | JAMY RICHARD Dir Of Reimbursement And Finance 225-765-4281 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-04-15 |