| NPI | 1306100615 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP - LAKES FAMILY PRACTICE A DEPARTMENT OF LAKES REGI |
| Entity Type | Organization |
| Authorized Contact | STEVE J ALGER Sr VP And CFO 712-336-8796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-10-25 |