Lakeside Family Health Center PC

NPI #1871564609 in Lakeside, Arizona

Provider Information

NPI Number: 1871564609
Entity Type: Organization
Organization Name: Lakeside Family Health Center PC
Primary Specialty: Family Medicine
Enumeration Date: Jan 30, 2006
Last Updated: Jan 26, 2015

Practice Location

Address: 5658 HIGHWAY 260
Address 2: SUITE 24
City: Lakeside
State: Arizona
ZIP Code: 85929-5189
Phone: (928) 537-4379

Authorized Official

Name: CHARLES ROBERTSON, MD
Title: OWNER
Phone: (928) 537-4379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Women's Health — Women's Health	363LW0102X
Family Medicine	207Q00000X	Primary

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