Lakeside Physicians Management Llc

NPI 1043402308 - Family Medicine - 207Q00000X

NPI Details
NPI 1043402308
Enumeration Date 08/10/2007
Last Updated 09/30/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIANNA L DIANNA
Position ADMINISTRATIVE ASSISTANT
Phone (254) 694-6871
Fax (254) 694-6876
Practice Location
1512 NORTH BRAZOS
WHITNEY TX, 76692, US
Phone (254) 694-6871
Fax (254) 694-6876
Business Location
1512 NORTH BRAZOS
WHITNEY TX, 76692, US
Phone (254) 694-6871
Fax (254) 694-6876
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Lakeside Physicians Management Llc NPI is 1043402308, taxonomy code is 207Q00000X Lakeside Physicians Management Llc physically located at 1512 North Brazos, Whitney TX, 76692. NPI Number 1033115704 has the healthcare provider type.

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1043402308 NPI number is provided on an as is basis without warranty of any kind. 1043402308 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeside Physicians Management Llc are for informational purposes only.