NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1740516236
LAKESIDE MEDICAL ASSOICATES, A MEDICAL GROUP, INC.
777 FLOWER ST STE A
GLENDALE
CA
912013000
1306895990
BODE
DAVID
F
777 FLOWER ST STE A
GLENDALE
CA
912013000
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