Lakewood Pediatrics and Family Medicine
NPI #1881911840 in Durham, North Carolina
Provider Information
- NPI Number
- 1881911840
- Entity Type
- Organization
- Organization Name
- Lakewood Pediatrics and Family Medicine
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Apr 29, 2010
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 4003 N ROXBORO ST
- City
- Durham
- State
- North Carolina
- ZIP Code
- 27704-2119
- Phone
- (919) 220-6317
Authorized Official
- Name
- KENNY HEINE
- Title
- SR. DIRECTOR OF OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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