Lakeside Family Medicine Pllc

NPI #1083879225 in Many, Louisiana

Provider Information

NPI Number: 1083879225
Entity Type: Organization
Organization Name: Lakeside Family Medicine Pllc
Primary Specialty: Family Medicine
Enumeration Date: Jul 28, 2008
Last Updated: Jul 28, 2008

Practice Location

Address: 12060 TEXAS HWY
City: Many
State: Louisiana
ZIP Code: 71449-5605
Phone: (318) 256-6465

Authorized Official

Name: KAY NELSON, M.D.
Title: PHYSICIAN/OWNER
Phone: (318) 256-6465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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