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 |