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Organization
LA LAKERS
Active
Organization
LA LAKERS
Active
Parent organization
LA LAKERS
Other names
Veterans Administration, National Basketball Assoication
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA LAKERS
Authorized official
MR. ADAM SILVER (PRESIDENT OF OPERATIONS)
(184) 462-2855
Entity
Organization
Contact information
Practice address
2101 NE 2ND ST, GAINESVILLE, FL 32609-8627
(352) 792-8069
Mailing address
2101 NE 2ND ST APT 114, GAINESVILLE, FL 32609-8626
(352) 792-8069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
Other
Enumeration date
04/06/2019
Last updated
03/16/2021
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