Organization
LAKESIDE PROFESSIONAL BILLING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (SR VP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
2911 BRUNSWICK RD, MEMPHIS, TN 38133-4105
(901) 377-4700
Mailing address
2911 BRUNSWICK RD, MEMPHIS, TN 38133-4105
(901) 377-4700
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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