| NPI | 1740206499 |
|---|---|
| Doing Business As | ELIZABETH LAKES FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | BILLIE JO BROWN Credentialing Manager 757-316-5901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-07-22 |