Organization · Type 2 NPI

Lakeshore Pediatrics PC

Rural Health Clinic/Center · Moulton, AL

NPI number 1801238787 Active

Practice location

12521 Al Highway 157 Ste B
Moulton, AL 35650-1937

Call (256) 974-6300 Map

Mailing address

1120 S Jackson Hwy Ste 304
Sheffield, AL 35660-5773

Specialties and licenses

TaxonomyCodeLicense
Rural Health Clinic/Center Primary 261QR1300X17108 (AL)

Rural Health Clinic/Center: Definition to come...

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About NPI 1801238787

Lakeshore Pediatrics PC's National Provider Identifier is 1801238787, issued on Jul 22, 2013. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Moulton, AL. The record was last updated on Jul 22, 2013.