| Lakeside Family Health Center Pc | |
|
5658 Highway 260 Suite 24 Lakeside AZ 85929-5189 | |
| (928) 537-4379 | |
| (928) 537-4653 |
| Full Name | Lakeside Family Health Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5658 Highway 260, Lakeside, Arizona |
| Authorized Official Name and Position | Charles Robertson (OWNER) |
| Authorized Official Contact | 9285374379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Family Health Center Pc 5658 Highway 260 Ste 24 Lakeside AZ 85929-5189 Ph: (928) 537-4379 | Lakeside Family Health Center Pc 5658 Highway 260 Suite 24 Lakeside AZ 85929-5189 Ph: (928) 537-4379 |
| NPI Number | 1871564609 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871564609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | (* (Not Available)) | Secondary |
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