| NPI | 1356643399 |
|---|---|
| Doing Business As | LAKE PHYSICIAN GROUP CARDIOLOGY SER |
| Entity Type | Organization |
| Authorized Contact | ELONA SHARBAUGH VP Physician Practices 225-765-8680 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |