| NPI | 1578644324 |
|---|---|
| Other Name | LAKESHORE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | DEANNA PAIGE ALLEN Office Manager 256-582-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2012-12-14 |