NPI | 1538607031 |
---|---|
Doing Business As | LCH OB/GYN BR |
Entity Type | Organization |
Authorized Contact | BENJAMIN SPENCE CFO 239-343-6014 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-02-03 |
Last Update Date | 2021-10-22 |