La Lakers
NPI #1972065001 in Gainesville, Florida
Provider Information
- NPI Number
- 1972065001
- Entity Type
- Organization
- Organization Name
- La Lakers
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- 000018
- Primary Specialty
- General Acute Care Hospital
- Enumeration Date
- Apr 6, 2019
- Last Updated
- Apr 16, 2021
Practice Location
- Address
- 2101 NE 2ND ST APT 114
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32609-8626
- Phone
- (352) 792-8069
Authorized Official
- Name
- RAVEN SHENETTE MAYES, DO
- Title
- HEALTHCARE MANAGER
- Phone
- (352) 792-8069
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
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