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Organization
LAKE SHORE HMA, LLC
Active
Organization
LAKE SHORE HMA, LLC
Active
Other names
Shands Lake Shore Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
368 NE FRANKLIN ST, LAKE CITY, FL 32055-3088
(386) 754-8000
(352) 733-0069
Mailing address
368 NE FRANKLIN ST, LAKE CITY, FL 32055-3088
(386) 754-8000
(352) 733-0069
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010033100
—
FL
Enumeration date
09/21/2006
Last updated
03/09/2018
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