Lakeside Family Medicine
NPI #1720514029 in Gainesville, Georgia
Provider Information
- NPI Number
- 1720514029
- Entity Type
- Organization
- Organization Name
- Lakeside Family Medicine
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 4, 2017
- Last Updated
- May 4, 2017
Practice Location
- Address
- 104 CARRINGTON PARK DR STE B
- City
- Gainesville
- State
- Georgia
- ZIP Code
- 30504-6603
- Phone
- (770) 899-3773
Authorized Official
- Name
- FOROOGH NARMANI-MOHAMMADI, DNP, FNP-C
- Title
- FAMILY NURSE PRACTITIONER
- Phone
- (770) 899-3773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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