Organization · Type 2 NPI
Lakeside Medical Group
Family Medicine Physician · San Antonio De Tlyacapan, MX
Practice location
Hidalgo 148A
San Antonio De Tlyacapan, MX 45922
Mailing address
5830 E 2nd St
Casper, WY 82609-4308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician Primary | 207Q00000X | None listed |
Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
About NPI 1376448894
Lakeside Medical Group's National Provider Identifier is 1376448894, issued on Oct 13, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in San Antonio De Tlyacapan, MX. The record was last updated on Oct 13, 2026.