Organization
LAKE MARY MEDICAL CONSULTING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEE RAUSCHER (PRESIDENT/OWNER)
(330) 618-4352
Entity
Organization
Contact information
Practice address
611 ZEAGLER DR, PALATKA, FL 32177-3810
(407) 688-9932
Mailing address
3730 TABS DR, UNIONTOWN, OH 44685-9562
(330) 563-0616
(330) 563-0604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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