Lakeshore Pediatrics Pc Valid NPI
Organization · Rural Health Clinic/Center · Moulton, AL
- NPI
- 1801238787
- Type
- Organization (Type 2)
- Primary specialty
- Rural Health Clinic/Center (Clinic/Center)
- Specialty group
- Ambulatory Health Care Facilities
- Taxonomy code
- 261QR1300X
- License number
- 17108 (AL)
- Enumerated
- 2013-07-22
- Last updated
- 2013-07-22
Practice location
12521 Al Highway 157 Ste B
Moulton, AL 35650-1937
(256) 974-6300