Provider First Line Business Practice Location Address:
1021 LAKELAND HILLS BOULEVARD
Provider Second Line Business Practice Location Address:
LAKELAND VOLUNTEERS IN MEDICINE
Provider Business Practice Location Address City Name:
LAKELAND
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-688-5846
Provider Business Practice Location Address Fax Number:
863-802-4640
Provider Enumeration Date:
04/08/2010