Lakeshore Pediatrics P.c.

NPI #1447358619 in Sheffield, Alabama

Provider Information

NPI Number: 1447358619
Entity Type: Organization
Organization Name: Lakeshore Pediatrics P.c.
Primary Specialty: Pediatrics
Enumeration Date: Sep 20, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 1120 S JACKSON HWY
Address 2: SUITE 304
City: Sheffield
State: Alabama
ZIP Code: 35660-5777
Phone: (256) 386-4151

Authorized Official

Name: DR. AGUSTIN RIVAS, M.D.
Title: PRESIDENT
Phone: (256) 386-4151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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