LAKESHORE PEDIATRICS OF RUSSELLVILLE, PC is a rural health clinic center in Russellville, AL. LAKESHORE PEDIATRICS OF RUSSELLVILLE, PC NPI is 1326352873. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Lakeshore Pediatric Rural Health Clinic.
The provider's business location address is:
603 GANDY ST NE
RUSSELLVILLE, AL
ZIP 35653-911
Phone: (256) 331-5055
Fax: (256) 460-4647
The provider's authorized official is Rebecca Thompson .
The authorized official title is Director and has the following contact phone number (256) 331-5055.
The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/27/2010.