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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