| NPI | 1831597517 |
|---|---|
| Doing Business As | LAKESIDE FAMILY HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOHN GATES CFO 415-600-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2022-01-20 |