Organization · Type 2 NPI
Lake's Medical Office
Health Service Clinic/Center · Hollywood, FL
NPI number
1295935013
Active
Practice location
6260 Johnson St
Hollywood, FL 33024-5932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | HCC4716 (FL) |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1295935013
Lake's Medical Office's National Provider Identifier is 1295935013, issued on Jul 19, 2007. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Hollywood, FL. The record was last updated on Jul 19, 2007.