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Organization
LAKESIDE HEALTHCARE
Active
Organization
LAKESIDE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY WATKINS (OWNER)
(903) 335-3954
Entity
Organization
Contact information
Practice address
1530 SSW LOOP 323, SUITE 116, TYLER, TX 75701-2562
(903) 335-3954
Mailing address
1530 SSW LOOP 323, SUITE 116, TYLER, TX 75701-2562
(903) 335-3954
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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