Lake Shore Family Medicine, P.a.

NPI #1457463085 in Waco, Texas

Provider Information

NPI Number: 1457463085
Entity Type: Organization
Organization Name: Lake Shore Family Medicine, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2100 LAKE SHORE DR
City: Waco
State: Texas
ZIP Code: 76708-1271
Phone: (254) 755-0088

Authorized Official

Name: KARL M TRIPPE, MD
Title: PRESIDENT
Phone: (254) 755-0088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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