| NPI | 1790488013 |
|---|---|
| Doing Business As | LAKELAND EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PRAVOOT GIRA Cmo 314-909-0633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |