Organization · Type 2 NPI
Lakeside Anesthesiology, S.c
Non-Pharmacy Dispensing Site · Rockford, IL
NPI number
1477897023
Active
Practice location
761 Highgrove Pl
Rockford, IL 61108-2520
Mailing address
2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2 other providers at this address
Other non-pharmacy dispensing site providers in Rockford
About NPI 1477897023
Lakeside Anesthesiology, S.c's National Provider Identifier is 1477897023, issued on Nov 20, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Rockford, IL. The record was last updated on Nov 20, 2012.