| Lakeline Outpatient Care Pllc | |
|
1860 S Lakeline Blvd Cedar Park TX 78613-3872 | |
| (512) 320-9003 | |
| Not Available |
| Full Name | Lakeline Outpatient Care Pllc |
|---|---|
| Speciality | Nurse Practitioner - Primary Care |
| Location | 1860 S Lakeline Blvd, Cedar Park, Texas |
| Authorized Official Name and Position | Nicole Campbell (DIRECTOR OF PATIENT ACCESS) |
| Authorized Official Contact | 5129481752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeline Outpatient Care Pllc 1464 E Whitestone Blvd Ste 1101 Cedar Park TX 78613-9070 Ph: (512) 506-8503 | Lakeline Outpatient Care Pllc 1860 S Lakeline Blvd Cedar Park TX 78613-3872 Ph: (512) 320-9003 |
| NPI Number | 1689427452 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 10/04/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689427452 | NPI | - | NPPES |
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