| NPI | 1669641189 |
|---|---|
| Doing Business As | LAKE TAHOE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL P DOYLE Owner 530-541-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G71419) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |