| 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 |