LAKESHORE PEDIATRICS PC
Ambulatory Health at Al Highway 157, Moulton, AL

License number
Alabama 17108
Category
Ambulatory Health
Type
Rural Health
Owner
Name: AGUSTIN RIVAS MD
Title: OWNER
Phone: (256) 386-4151
Address
Address 2
12521 Al Highway 157 STE B, Moulton, AL 35650
1120 S Jackson Hwy STE 304, Sheffield, AL 35660
National Provider ID: 1801238787
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LAKESHORE PEDIATRICS PC at bizstanding.com

Lakeshore Pediatrics, PC

Sheffield, AL

Industry:
Pediatric Medicine Practice
Registration:
Jun 4, 1996
State ID:
180-331
Business type:
Domestic Corporation
Formation place:
Colbert County
Incorporator:
Agustin C Rivas (Incorporator)
Agent:
Agustin G Rivas,Sheffield, AL 35660 (Physical)

Ambulatory Health licenses in Alabama

Other Doctors licenses in Alabama