| NPI | 1922106202 |
|---|---|
| Other Name | AVERA MEDICAL GROUP LAKES FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | STEVE ALGER CFO 712-336-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-09-07 |