Organization
LAKESIDE ALLERGY ENT LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN YOUNG (MANAGER)
(972) 771-5443
Entity
Organization
Contact information
Practice address
1320 SUMMER LEE DR., ROCKWALL, TX 75032
(972) 771-5443
(972) 771-5444
Mailing address
1320 SUMMER LEE DR, ROCKWALL, TX 75032
(972) 771-5443
(972) 771-5444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
08/05/2016
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