NPI 1881911840
Lakewood Pediatrics and Family Medicine
Practice location
- Address
- 4003 N Roxboro St, Durham, NC 27704-2119
- Phone
- (919) 220-6317
- Mailing address
- 5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705
Authorised official
- Name
- Kenny Heine
- Title
- Sr. Director of Operations
- Phone
- (858) 625-2990
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1881911840
- Entity type
- Organization
- NPI issued
- 29 Apr 2010
- Record last updated
- 23 Oct 2012
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.