# LAKESIDE NORTH FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeside North
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245809896
- **Authorized official:** DAVID CAMPBELL MD (PRESIDENT)
- **Authorized official phone:** (256) 571-8460

## Contact information

- **Practice address:** 38 ROWE DR, GUNTERSVILLE, AL 35976-7367
- **Practice address phone:** (256) 571-8460
- **Practice address fax:** (256) 571-8464
- **Mailing address:** 38 ROWE DR, GUNTERSVILLE, AL 35976-7367
- **Mailing address phone:** (256) 571-8460
- **Mailing address fax:** (256) 571-8464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2021
- **Last updated:** 06/18/2021