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Organization

LAKE HEALTH CARE CENTER INC

Active
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Organization

LAKE HEALTH CARE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORRI J HARTLEY (OFFICE ADMINISTRATOR)
(352) 357-8615
Entity
Organization

Contact information

Practice address
910 MOUNT HOMER RD, EUSTIS, FL 32726-6258
(352) 357-8615
Mailing address
910 MOUNT HOMER RD, EUSTIS, FL 32726-6258
(352) 357-8615

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
NOTREQUIRED
FL
207Q00000X
Family Medicine Physician
NOTREQUIRED
FL
213E00000X
Podiatrist
NOTREQUIRED
FL

Other

Enumeration date
05/23/2005
Last updated
06/22/2010
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