| Lake Shore Family Medicine, P.a. | |
|
2100 Lake Shore Dr Waco TX 76708-1271 | |
| (254) 755-0088 | |
| Not Available |
| Full Name | Lake Shore Family Medicine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2100 Lake Shore Dr, Waco, Texas |
| Authorized Official Name and Position | Karl M Trippe (PRESIDENT) |
| Authorized Official Contact | 2547550088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Shore Family Medicine, P.a. 2100 Lake Shore Dr Waco TX 76708-1271 Ph: (254) 755-0088 | Lake Shore Family Medicine, P.a. 2100 Lake Shore Dr Waco TX 76708-1271 Ph: (254) 755-0088 |
| NPI Number | 1457463085 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457463085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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