| NPI | 1538192075 |
|---|---|
| Doing Business As | LADY LAKE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN D BURRESS President 352-259-7994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2013-02-06 |