Lakeshore Pediatrics of Russellville, PC
NPI #1326352873 in Russellville, Alabama
Provider Information
- NPI Number
- 1326352873
- Entity Type
- Organization
- Organization Name
- Lakeshore Pediatrics of Russellville, PC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 27, 2010
- Last Updated
- Jul 27, 2010
Practice Location
- Address
- 603 GANDY ST NE
- City
- Russellville
- State
- Alabama
- ZIP Code
- 35653-1911
- Phone
- (256) 331-5055
Authorized Official
- Name
- REBECCA THOMPSON
- Title
- DIRECTOR
- Phone
- (256) 331-5055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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