NPI | 1316154610 |
---|---|
Doing Business As | LAKE OBSTETRICS AND GYNECOLOGY,LLC |
Entity Type | Organization |
Authorized Contact | STEVEN EUGENE PILLOW President 352-383-4966 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP 9192551) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2012-06-26 |