| NPI | 1366651598 |
|---|---|
| Doing Business As | LAKEWOOD FAMILY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MONISOLA AUGUSTA ADEYEMO Np 301-925-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: MD 105387) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-11-08 |