| NPI | 1396383204 |
|---|---|
| Doing Business As | LAKELAND ANESTHESIA, PC |
| Entity Type | Organization |
| Authorized Contact | JACK DILLON Executive Director 616-284-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |