| NPI | 1326352873 |
|---|---|
| Doing Business As | DBA LAKESHORE PEDIATRIC RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBECCA THOMPSON Director 256-331-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |