LAKESHORE PEDIATRICS PC

MOULTON, AL
NPI1801238787
Entity TypeOrganization
Authorized ContactAGUSTIN RIVAS
Owner
256-386-4151
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
(Licence: AL  17108)
Enumeration Date2013-07-22
Last Update Date2013-07-22
Business Address
LAKESHORE PEDIATRICS PC
12521 AL HIGHWAY 157 STE B
MOULTON, AL 35650-1937
Phone number: 256-974-6300
Mailing Address
LAKESHORE PEDIATRICS PC
1120 S JACKSON HWY STE 304
SHEFFIELD, AL 35660-5773
Phone number: 256-386-4151
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