Lakeshore Pediatrics PC
NPI #1588002455 in Moulton, Alabama
Provider Information
- NPI Number
- 1588002455
- Entity Type
- Organization
- Organization Name
- Lakeshore Pediatrics PC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jun 12, 2013
- Last Updated
- Jun 12, 2013
Practice Location
Authorized Official
- Name
- AGUSTIN G RIVAS, MD
- Title
- PRESIDENT
- Phone
- (256) 386-4151
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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