| NPI | 1306304399 |
|---|---|
| Doing Business As | LAKELAND PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY POOL Chief Operating Officer 205-485-7108 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |