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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE SHORE PHYSICIAN PA

Active Organization

LAKE SHORE PHYSICIAN PA is a Internal Medicine organization located in PASADENA, Maryland. NPI 1003823717 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · PASADENA, MD

Registration Details

NPI Number
1003823717
Provider Type
Organization
NPI Issued
Aug 2, 2006 (20.036550133561 yrs)
Last Updated
Aug 22, 2020
License
D14751 (MD)

Practice Information

Address
4231 POSTAL COURT
PASADENA, MD, 21122
Browse MD providers · Browse ZIP 21122
Phone
4104323200
Fax
4104379402
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Organizations in PASADENA, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.