| NPI | 1992437255 |
|---|---|
| Doing Business As | LAKESIDE SLEEP CENTER |
| Entity Type | Organization |
| Authorized Contact | CORTNIE RENEE WELLMAN Owner 936-582-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225B00000X Pulmonary Function Technologist |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |