| NPI | 1568717478 |
|---|---|
| Doing Business As | ATRIUM HEALTH PRIMARY CARE LAKE PARK FAMILY MEDICINE |
| Doing Business As | LAKE PARK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER Enterprise EVP 704-355-8675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2023-03-09 |