| NPI | 1710384466 |
|---|---|
| Doing Business As | LAKESHORE ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2022-01-14 |