Lakeside Pediatrics, Llc

LBN: Lakeside Pediatrics, Llc
Lakeside Pediatrics, Llc is an health care organization with primary practice located at 204 Canton Rd , Cumming GA 30040-2304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Lakeside Pediatrics, Llc can be contacted via phone (770) 886-5437, or through Bagheri, Bob B via phone (770) 886-5437.

Contact Information

Primary practice address
204 Canton Rd Cumming GA 30040-2304
Phone: (770) 886-5437
Fax: (770) 886-9717
Website:
Map and Directions
Authorized official contact:
Name: Bagheri, Bob B Doctor of Medicine (MD)
Phone: (770) 886-5437

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 040865 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 050209 Georgia

Profile Details

NPI number 1326317520
LBN Legal business name Lakeside Pediatrics, Llc
DBA Doing business as
Authorized official Bagheri, Bob B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2011
Last updated Dec 19th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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