Lakeshore Pediatric Center, P.a.

NPI #1366650707 in Denver, North Carolina

Provider Information

NPI Number
1366650707
Entity Type
Organization
Organization Name
Lakeshore Pediatric Center, P.a.
Primary Specialty
Pediatrics
Enumeration Date
May 18, 2007
Last Updated
Feb 4, 2011

Practice Location

Address
275 N HWY 16
Address 2
SUITE: 103 LAKESHORE PEDIATRIC CENTER.
City
Denver
ZIP Code
28037
Phone
(704) 489-8401

Authorized Official

Name
DR. WISSAM NADRA, MD
Title
PRESIDENT
Phone
(704) 489-8401

Specialties & Taxonomy Codes

Specialty
Pediatrics

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