OrganizationActive
Lakeshore Pediatrics of Russellville, PC
NPI 1326352873 · Rural Health Clinic/Center · Russellville, AL
Provider details
- NPI number
- 1326352873
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rebecca Thompson, Director(256) 331-5055
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
603 Gandy St Ne
Russellville, AL 35653-1911
Phone: (256) 331-5055
Fax: (256) 460-4647
Approximate (ZIP-level) locationGet directions
Mailing address
603 Gandy St Ne
Russellville, AL 35653-1911
Other names (DBA / former)
- Doing business as
- Dba Lakeshore Pediatric Rural Health Clinic
Registry dates
- Enumerated
- 2010-07-27
- Last updated
- 2010-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.