Provider First Line Business Practice Location Address:
1 HOSPITAL COURT
Provider Second Line Business Practice Location Address:
LAKERIDGE HEALTH SYSTEM
Provider Business Practice Location Address City Name:
OSHAWA
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
L1G2B9
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
905-576-8711
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2012