NPI | 1780832071 |
---|---|
Doing Business As | LAKE WEST WOMEN'S HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | FREDERICK P. CERISE President & Chief Executive Officer 214-590-8006 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2008-08-29 |
Last Update Date | 2022-12-12 |