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Lakeside Family Practice Pc
Primary Care Clinic/Center in Raynham, Massachusetts
NPI 1528176179

Lakeside Family Practice Pc is a Primary Care Clinic/Center based in Raynham, MA and is specialized in Primary Care. Lakeside Family Practice Pc practices in Raynham, MA. The NPI Number for Lakeside Family Practice Pc is 1528176179 and holds a License No. (Massachusetts).

The current practice location address for Lakeside Family Practice Pc is 416 Broadway, Raynham, MA and can be reached out via phone at 508-828-5020 and via fax at 508-386-1323.

Location: 416 Broadway, Raynham, MA, 02767-1737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528176179
Provider Name
Lakeside Family Practice Pc
Credential
Provider Entity Type
Organization
Address
416 Broadway, Raynham, MA, 02767-1737
Phone Number
508-828-5020
Fax Number
508-386-1323
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
416 Broadway
City
Raynham
State
Massachusetts
Zip
02767-1737
Phone Number
508-828-5020
Fax Number
508-386-1323
person
Provider Business Mailing Address Details
Address
416 Broadway
City
Raynham
State
Massachusetts
Zip
02767-1737
Phone Number
508-828-5020
Fax Number
508-386-1323
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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