Lakeside Sleep Center LLC
NPI #1780120006 in Montgomery, Texas
Provider Information
- NPI Number
- 1780120006
- Entity Type
- Organization
- Organization Name
- Lakeside Sleep Center LLC
- Primary Specialty
- Clinic/Center - Sleep Disorder Diagnostic
- Enumeration Date
- Jan 10, 2017
- Last Updated
- Jan 10, 2017
Practice Location
- Address
- 123 BLUE HERON DR
- Address 2
- STE 102
- City
- Montgomery
- State
- Texas
- ZIP Code
- 77316-3192
- Phone
- (936) 582-1112
Authorized Official
- Name
- CORTNIE WELLMAN
- Title
- OWNER
- Phone
- (936) 582-1112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Clinic/Center - Sleep Disorder Diagnostic — Sleep Disorder Diagnostic |
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