Lakeside Healthcare INC
NPI #1922081215 in Chapin, South Carolina
Provider Information
- NPI Number
- 1922081215
- Entity Type
- Organization
- Organization Name
- Lakeside Healthcare INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 21, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 203 AMICKS FERRY RD
- Address 2
- SUITE 1000
- City
- Chapin
- State
- South Carolina
- ZIP Code
- 29036-8663
- Phone
- (803) 932-7080
Authorized Official
- Name
- MR. MI CHAEL W HOUMIEL
- Title
- VICE PRESIDENT
- Phone
- (803) 932-7080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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