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Organization
LAKESHORE PEDIATRICS P.C.
Active
Organization
LAKESHORE PEDIATRICS P.C.
Active
Other names
Lakeshore Pediatrics P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGUSTIN RIVAS M.D. (PRESIDENT)
(256) 386-4151
Entity
Organization
Contact information
Practice address
1120 S JACKSON HWY, SUITE 304, SHEFFIELD, AL 35660-5777
(256) 386-4151
(256) 383-7293
Mailing address
1120 S JACKSON HWY, SUITE 304, SHEFFIELD, AL 35660-5777
(256) 386-4151
(256) 383-7293
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17108
AL
Other
Enumeration date
09/20/2006
Last updated
07/21/2022
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