| NPI | 1386724771 |
|---|---|
| Doing Business As | LAKESIDE OPHTHALMOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT G MOBLEY President 586-263-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-01-09 |