Lakeshore Pediatrics Of Russellville in Sheffield - Pediatrics
Lakeshore Pediatrics Of Russellville - NPI 1194907394
Lakeshore Pediatrics Of Russellville is a Pediatrics in Sheffield, Alabama. Lakeshore Pediatrics Of Russellville practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lakeshore Pediatrics Of Russellville is 1194907394. The last update date is 2007-11-29.
Lakeshore Pediatrics Of Russellville's current location address is 1120 S Jackson Hwy, Sheffield, Alabama. You can contact this provider via phone number 2563864151 and fax number 2563837293. The mailing address for Lakeshore Pediatrics Of Russellville is 1120 S Jackson Hwy, Sheffield, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Pediatrics Of Russellville |
|---|---|
| Address | 1120 S Jackson Hwy, Sheffield, Alabama |
| Phone Number | 2563864151 |
| Fax Number | 2563837293 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rivas Agustin |
| Credentials | M.D. |
| Telephone Number | 2563864151 |
NPI Number Detail
| NPI Number | 1194907394 |
|---|---|
| Provider Enumeration Date | 2007-11-29 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 1120 S Jackson Hwy |
|---|---|
| City | Sheffield |
| State | Alabama (AL) |
| Post Code | 356605777 |
| Phone Number | 2563864151 |
| Fax Number | 2563837293 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 2006323 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique identification code assigned to Lakeshore Pediatrics Of Russellville by the Centers for Medicare & Medicaid Services?
The Lakeshore Pediatrics Of Russellville has been issued the NPI (National Provider Identifier) 1194907394. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lakeshore Pediatrics Of Russellville is geographically located?
The Lakeshore Pediatrics Of Russellville is physically situated at the following location: 1120 S Jackson Hwy, Sheffield, AL, 356605777.
What is Lakeshore Pediatrics Of Russellville's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lakeshore Pediatrics Of Russellville is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Lakeshore Pediatrics Of Russellville receive the assignment of its 1194907394 from the Centers for Medicare & Medicaid Services?
The Lakeshore Pediatrics Of Russellville was issued its 1194907394 by the Centers for Medicare & Medicaid Services on 2007-11-29.
When was the Lakeshore Pediatrics Of Russellville's information last updated?
The Lakeshore Pediatrics Of Russellville's information was last updated on 2007-11-29.