Lakecrest Medical Pllc

NPI #1447568225 in Rowlett, Texas

Provider Information

NPI Number: 1447568225
Entity Type: Organization
Organization Name: Lakecrest Medical Pllc
Primary Specialty: Family Medicine
Enumeration Date: Sep 15, 2010
Last Updated: Sep 15, 2010

Practice Location

Address: 7617 LAKEVIEW PKWY
City: Rowlett
State: Texas
ZIP Code: 75088-4356
Phone: (972) 475-1351

Authorized Official

Name: DR. WELDON R JOHNSON JR., D.O.
Title: PHYSICIAN
Phone: (972) 475-1351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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