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1457463085
LAKE SHORE FAMILY MEDICINE, P.A.
WACO, TX
NPI
1457463085
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Entity Type
Organization
Authorized Contact
KARL M TRIPPE
President
254-755-0088
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-08-31
Last Update Date
2020-08-22
Business Address
LAKE SHORE FAMILY MEDICINE, P.A.
2100 LAKE SHORE DR
WACO, TX 76708-1271
Phone number: 254-755-0088
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Mailing Address
LAKE SHORE FAMILY MEDICINE, P.A.
2100 LAKE SHORE DR
WACO, TX 76708-1271
Phone number: 254-755-0088
Copy
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