NPI | 1477872125 |
---|---|
Other Name | LAKESIDE NEUROLOGY |
Entity Type | Organization |
Authorized Contact | THOMAS WINGER Business Manager 800-416-1767 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Enumeration Date | 2010-05-20 |
Last Update Date | 2010-05-20 |