Organization
LAKELAND VOLUNTEERS IN MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUE RUSSELL RN (EXECUTUVE DIRECTOR)
(863) 688-5846
Entity
Organization
Contact information
Practice address
1021 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4672
(863) 688-5846
(863) 688-5846
Mailing address
1021 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4672
(863) 688-5846
(863) 688-5846
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
695832
FL
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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