Lakeside Internal Medicine Associates,llc

NPI #1346486032 in Sicklerville, New Jersey

Provider Information

NPI Number: 1346486032
Entity Type: Organization
Organization Name: Lakeside Internal Medicine Associates,llc
Primary Specialty: Internal Medicine
Enumeration Date: Dec 30, 2008
Last Updated: Dec 30, 2008

Practice Location

Address: 1300 LIBERTY PL
City: Sicklerville
State: New Jersey
ZIP Code: 08081-5710
Phone: (856) 374-5304

Authorized Official

Name: DR. DAVID A EVANS, D.O.
Title: OWNER
Phone: (856) 374-5304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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