Lakeside Medical Associates PC

NPI #1063442895 in South Hill, Virginia

Provider Information

NPI Number: 1063442895
Entity Type: Organization
Organization Name: Lakeside Medical Associates PC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 4, 2006
Last Updated: Oct 15, 2007

Practice Location

Address: 200 E FERRELL ST
City: South Hill
State: Virginia
ZIP Code: 23970-2104
Phone: (434) 447-8081

Authorized Official

Name: AJAY JAIN, MD
Title: MANAGER
Phone: (434) 447-8081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Internal Medicine - Geriatric Medicine — Geriatric Medicine	207RG0300X

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