OrganizationActive
Lakeshore Pediatrics PC
NPI 1801238787 · Rural Health Clinic/Center · Moulton, AL
Provider details
- NPI number
- 1801238787
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Agustin Rivas, Owner(256) 386-4151
- License
- 17108 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12521 Al Highway 157 Ste B
Moulton, AL 35650-1937
Phone: (256) 974-6300
Approximate (ZIP-level) locationGet directions
Mailing address
1120 S Jackson Hwy Ste 304
Sheffield, AL 35660-5773
Registry dates
- Enumerated
- 2013-07-22
- Last updated
- 2013-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.