Organization
LAKE CITY VETERAN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY REISSENER (ASSOCIATE DIRECTOR)
(386) 758-3209
Entity
Organization
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, LAKE CITY, FL 32025-5808
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
RN2940162
FL
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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