Lakeshore Family Medicine Derby

LBN: Lakeshore Family Medicine Associates Pc
Lakeshore Family Medicine Derby is an health care organization with primary practice located at 7060 Erie Rd Suite 100, Derby NY 14047-9430. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Lakeshore Family Medicine Associates Pc can be contacted via phone (716) 947-0408, or through Heine, Kenny via phone (858) 964-1506.

Contact Information

Primary practice address
7060 Erie Rd Suite 100 Derby NY 14047-9430
Phone: (716) 947-0408
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 964-1506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 233142 New York

Profile Details

NPI number 1801211826
LBN Legal business name Lakeshore Family Medicine Associates Pc
DBA Doing business as Lakeshore Family Medicine Derby
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 27th, 2014
Last updated Feb 27th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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