| NPI | 1831682814 |
|---|---|
| Other Name | LAKE ALLERGY, ASTHMA AND IMMUNOLOGY, PA |
| Entity Type | Organization |
| Authorized Contact | ANDREW J COOKE President 954-609-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME118840) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2021-02-16 |