| Lakeside Family Medicine Pllc | |
|
12060 Texas Hwy Many LA 71449-5605 | |
| (318) 256-6465 | |
| Not Available |
| Full Name | Lakeside Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 12060 Texas Hwy, Many, Louisiana |
| Authorized Official Name and Position | Kay Nelson (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3182566465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Family Medicine Pllc 12060 Texas Hwy Many LA 71449-5605 Ph: () - | Lakeside Family Medicine Pllc 12060 Texas Hwy Many LA 71449-5605 Ph: (318) 256-6465 |
| NPI Number | 1083879225 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083879225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12198R (Louisiana) | Primary |
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