Lake Medical Center, Inc.
NPI #1689863714 in San Marcos, California
Provider Information
- NPI Number
- 1689863714
- Entity Type
- Organization
- Organization Name
- Lake Medical Center, Inc.
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Oct 15, 2007
- Last Updated
- Oct 15, 2007
Practice Location
- Address
- 1146 SAN MARINO DR
- City
- San Marcos
- State
- California
- ZIP Code
- 92078-4649
- Phone
- (760) 471-2033
Authorized Official
- Name
- MICHAEL SHACK, M.D.
- Title
- PRESIDENT
- Phone
- (760) 471-2033
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Psychiatry & Neurology - Neurology — Neurology |
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