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Lakeshore Pediatrics Of Russellville, Pc
Rural Health Clinic/Center in Russellville, Alabama
NPI 1326352873

Lakeshore Pediatrics Of Russellville, Pc is a Rural Health Clinic/Center based in Russellville, AL and is specialized in Rural Health. Lakeshore Pediatrics Of Russellville, Pc practices in Russellville, AL. The NPI Number for Lakeshore Pediatrics Of Russellville, Pc is 1326352873 and holds a License No. (Alabama).

The current practice location address for Lakeshore Pediatrics Of Russellville, Pc is 603 Gandy St Ne, Russellville, AL and can be reached out via phone at 256-331-5055 and via fax at 256-460-4647.

Location: 603 Gandy St Ne, Russellville, AL, 35653-1911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326352873
Provider Name
Lakeshore Pediatrics Of Russellville, Pc
Credential
Provider Entity Type
Organization
Address
603 Gandy St Ne, Russellville, AL, 35653-1911
Phone Number
256-331-5055
Fax Number
256-460-4647
Provider Enumeration Date
07/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
603 Gandy St Ne
City
Russellville
State
Alabama
Zip
35653-1911
Phone Number
256-331-5055
Fax Number
256-460-4647
person
Provider Business Mailing Address Details
Address
603 Gandy St Ne
City
Russellville
State
Alabama
Zip
35653-1911
Phone Number
256-331-5055
Fax Number
256-460-4647
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
(Alabama)
Definition
Definition to come...
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