| 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 |