Organization · Type 2 NPI
Lakeshore Pediatrics of Russellville, PC
Rural Health Clinic/Center · Russellville, AL
NPI number
1326352873
Active
Practice location
603 Gandy St NE
Russellville, AL 35653-1911
Fax (256) 460-4647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
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- Kevin Gerard KellyRural Health Clinic/Center Russellville, AL NPI 1902145188
About NPI 1326352873
Lakeshore Pediatrics of Russellville, PC's National Provider Identifier is 1326352873, issued on Jul 27, 2010. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Russellville, AL. The record was last updated on Jul 27, 2010.