LAKELAND FAMILY PRACTICE NPI 1982162962

NPI Information

LAKELAND FAMILY PRACTICE is a rural health clinic center in Haleyville, AL. LAKELAND FAMILY PRACTICE NPI is 1982162962. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakeland Family Practice.

The provider's business location address is:

42030 HIGHWAY 195
HALEYVILLE, AL
ZIP 35565
Phone: (205) 485-7227
Fax: (205) 485-7229

The provider's authorized official is Ashoke 'bappa' Mukherji .
The authorized official title is Java Medical Group Ceo and has the following contact phone number (613) 308-8800.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 8/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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