Organization
LAKELAND PHYSICIAN PRACTICES LLC
Active
Other names
Lakeland Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MANGUM (SENIOR DIRECTOR)
(615) 565-1898
Entity
Organization
Contact information
Practice address
42030 HIGHWAY 195, SUITE D, HALEYVILLE, AL 35565-7054
(205) 485-7243
Mailing address
PO BOX 1085, HALEYVILLE, AL 35565-1085
(205) 485-7243
(205) 485-7244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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