| NPI | 1881749067 |
|---|---|
| Doing Business As | LAKE CITY PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | RICHARD WEBBER Owner 518-561-8256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 210018) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-02-09 |