Lake Shore Family Medicine, P.A. in Waco - Family Medicine
Lake Shore Family Medicine, P.A. - NPI 1457463085
Lake Shore Family Medicine, P.A. is a Family Medicine in Waco, Texas. Lake Shore Family Medicine, P.A. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lake Shore Family Medicine, P.A. is 1457463085. The last update date is 2020-08-22.
Lake Shore Family Medicine, P.A.'s current location address is 2100 Lake Shore Dr, Waco, Texas. You can contact this provider via phone number 2547550088. The mailing address for Lake Shore Family Medicine, P.A. is 2100 Lake Shore Dr, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Shore Family Medicine, P.A. |
|---|---|
| Address | 2100 Lake Shore Dr, Waco, Texas |
| Phone Number | 2547550088 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Trippe M Karl |
| Credentials | MD |
| Telephone Number | 2547550088 |
NPI Number Detail
| NPI Number | 1457463085 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2100 Lake Shore Dr |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767081271 |
| Phone Number | 2547550088 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the Lake Shore Family Medicine, P.A.'s 1457463085?
The Lake Shore Family Medicine, P.A.'s NPI (National Provider Identifier) Number is 1457463085. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lake Shore Family Medicine, P.A. is located?
The Lake Shore Family Medicine, P.A. is situated at the following address: 2100 Lake Shore Dr, Waco, TX, 767081271.
What is Lake Shore Family Medicine, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lake Shore Family Medicine, P.A. is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When did Lake Shore Family Medicine, P.A. receive its 1457463085 assignment?
The Lake Shore Family Medicine, P.A. was assigned its 1457463085 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
When was the Lake Shore Family Medicine, P.A.'s information last updated?
The Lake Shore Family Medicine, P.A.'s information was last updated on 2020-08-22.
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