institution
Lakeshore Pediatrics Pc
Rural Health Clinic/Center in Moulton, Alabama
NPI 1801238787

Lakeshore Pediatrics Pc is a Rural Health Clinic/Center based in Sheffield, AL and is specialized in Rural Health. Lakeshore Pediatrics Pc practices in Moulton, AL. The NPI Number for Lakeshore Pediatrics Pc is 1801238787 and holds a License No. 17108 (Alabama).

The current practice location address for Lakeshore Pediatrics Pc is 12521 Al Highway 157 Ste B, Moulton, AL and can be reached out via phone at 256-974-6300.

Location: 12521 Al Highway 157 Ste B, Moulton, AL, 35660-5773
institution
Provider Profile Details
NPI Number
1801238787
Provider Name
Lakeshore Pediatrics Pc
Credential
Provider Entity Type
Organization
Address
12521 Al Highway 157 Ste B, Moulton, AL, 35660-5773
Phone Number
256-974-6300
Fax Number
Provider Enumeration Date
07/22/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588002455 05 AL
institution
Provider Business Practice Location Address Details
Address
12521 Al Highway 157 Ste B
City
State
Zip
35650-1937
Phone Number
256-974-6300
Fax Number
person
Provider Business Mailing Address Details
Address
12521 Al Highway 157 Ste B
City
State
Zip
35650-1937
Phone Number
256-974-6300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
17108 (Alabama)
Definition
Definition to come...
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