NPI | 1982162962 |
---|---|
Doing Business As | LAKELAND FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | ASHOKE "BAPPA" MUKHERJI Java Medical Group CEO 613-308-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2019-03-08 |
Last Update Date | 2021-08-19 |