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1699062927
LAKE COMMUNITY MEDICAL GROUP, INC.
PASADENA, CA
NPI
1699062927
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Entity Type
Organization
Authorized Contact
STEPHEN M LEVINE
President
626-405-0449
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
LAKE COMMUNITY MEDICAL GROUP, INC.
596 N LAKE AVE SUITE 201
PASADENA, CA 91101-1455
Phone number: 626-405-0449
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Mailing Address
LAKE COMMUNITY MEDICAL GROUP, INC.
596 N LAKE AVE SUITE 201
PASADENA, CA 91101-1455
Phone number: 626-405-0449
Copy
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