Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1659511335 |
| LBN Legal business name | LAKEWOOD HEALTH CENTER |
| Authorized official | JEFFRY STAMPOHAR - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/20/2009 |
| Last updated | 02/27/2020 - About 6 years ago |
| Identifiers | n/a |
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LAKEWOOD HEALTH CENTER
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