Lakeland Physician Practices LLC

NPI #1306093596 in Haleyville, Alabama

Provider Information

NPI Number: 1306093596
Entity Type: Organization
Organization Name: Lakeland Physician Practices LLC
Primary Specialty: Surgery
Enumeration Date: Aug 19, 2008
Last Updated: Aug 19, 2008

Practice Location

Address: 42030 HIGHWAY 195
City: Haleyville
State: Alabama
ZIP Code: 35565-7054
Phone: (615) 372-8500

Authorized Official

Name: DONALD J BIVACCA
Title: PRESIDENT
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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Northwest Alabama Surgical Specialists, PC	Surgery	Haleyville	AI Deep Dive

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