Lake Women for Women Ob/gyn,llc

NPI #1043585169 in Eustis, Florida

Provider Information

NPI Number
1043585169
Entity Type
Organization
Organization Name
Lake Women for Women Ob/gyn,llc
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Mar 22, 2012
Last Updated
Mar 22, 2012

Practice Location

Address
2 N EUSTIS ST
City
Eustis
State
Florida
ZIP Code
32726-3408
Phone
(352) 589-6005

Authorized Official

Name
DR. MAMIE ROGERS, MD
Title
OWNER
Phone
(352) 589-6005

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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