NPI | 1922021112 |
---|---|
Doing Business As | LAKE REGION UROLOGY |
Entity Type | Organization |
Authorized Contact | WILLIAM H FORESMAN President 315-258-5253 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NY 195558) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-08-22 |