NPI | 1912287467 |
---|---|
Doing Business As | LAKESHORE INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | JENNIFER L JACKSON Sr Dir Prov Enrollment & Onboarding 615-465-3334 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2011-08-27 |
Last Update Date | 2022-01-14 |