Lakeshore Clinic, P C | |
1026 S Eufaula Ave Eufaula AL 36027-2702 | |
(334) 687-5775 | |
(334) 687-5095 |
Full Name | Lakeshore Clinic, P C |
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Speciality | Internal Medicine |
Location | 1026 S Eufaula Ave, Eufaula, Alabama |
Authorized Official Name and Position | Gertrude E Nixon (PHYSICIAN/OWNER) |
Authorized Official Contact | 3346875775 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeshore Clinic, P C 1026 S Eufaula Ave Eufaula AL 36027-2702 Ph: (334) 687-5775 | Lakeshore Clinic, P C 1026 S Eufaula Ave Eufaula AL 36027-2702 Ph: (334) 687-5775 |
NPI Number | 1346428331 |
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Provider Enumeration Date | 02/01/2008 |
Last Update Date | 02/01/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346428331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 16148 (Alabama) | Primary |
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