NPI 1780068379

Lakeside Allergy Ent LLP

Organisation Specialist Rockwall, TX

Practice location

Address: 1320 Summer Lee Dr., Rockwall, TX 75032
Phone: (972) 771-5443
Fax: (972) 771-5444
Mailing address: 1320 Summer Lee Dr, Rockwall, TX 75032

Authorised official

Name: Susan Young
Title: Manager
Phone: (972) 771-5443

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1780068379
Entity type: Organization
NPI issued: 14 Jul 2015
Record last updated: 5 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.