Organization
LAKESIDE NEUROLOGY AND RADIOLOGY
Active
Other names
Lakeside Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS WINGER (BUSINESS MANAGER)
(800) 416-1767
Entity
Organization
Contact information
Practice address
12673 S DIXIE HWY, MIAMI, FL 33156-5958
(800) 416-1767
(888) 317-4206
Mailing address
2516 WAUKEGAN RD, STE 386, GLENVIEW, IL 60025-1774
(800) 416-1767
(888) 317-4206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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