DBA LAKESHORE PEDIATRIC RURAL HEALTH CLINIC
NPI 1326352873
Clinic/Center - Rural Health in Russellville, AL

Q: What is Lakeshore Pediatrics Of Russellville, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since July 27, 2010

603 GANDY ST NE, RUSSELLVILLE, AL 35653(256) 331-5055(256) 460-4647 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dba Lakeshore Pediatric Rural Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DBA LAKESHORE PEDIATRIC RURAL HEALTH CLINIC (NPI 1326352873) is a healthcare organization registered as a rural health in Russellville, Alabama and active in the NPI registry since July 2010. The organization lists Rebecca Thompson, Director, as its authorized official.

NPPES Registry Identity

NPI1326352873

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameLAKESHORE PEDIATRICS OF RUSSELLVILLE, PC

Location Address603 GANDY ST NERussellville, AL 35653-1911

Mailing Address603 Gandy St NeRussellville, AL 35653-1911 · (256) 331-5055 · Fax (256) 460-4647

Phone(256) 331-5055

Fax(256) 460-4647

Organization SubpartNo

Authorized OfficialRebecca ThompsonDirector · (256) 331-5055

Enumeration DateJuly 27, 2010

✔ NPI 1326352873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

603 GANDY ST NE, Russellville, AL 35653

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Other Names 1

Doing Business AsDba Lakeshore Pediatric Rural Health Clinic

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKESHORE PEDIATRICS OF RUSSELLVILLE

Pediatrics

603 GANDY ST NE
RUSSELLVILLE, AL 35653

Franklin County (256) 331-5055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Pediatrics Of Russellville, PC's NPI number?

The NPI number for Lakeshore Pediatrics Of Russellville, PC is 1326352873. It was assigned to this organization in the NPPES registry on July 27, 2010. The provider is doing business as Dba Lakeshore Pediatric Rural Health Clinic.

Where is Lakeshore Pediatrics Of Russellville, PC located?

Lakeshore Pediatrics Of Russellville, PC is located at 603 Gandy St NE, Russellville, AL 35653. The listed phone number is (256) 331-5055.

What is Lakeshore Pediatrics Of Russellville, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Lakeshore Pediatrics Of Russellville, PC was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.