| NPI | 1417247123 |
|---|---|
| Doing Business As | WEST LAKE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DENNIS M STYN President/CEO 814-868-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |