Lakeshore Surgical Practice, Pc

LBN: Lakeshore Surgical Practice, Pc
Lakeshore Surgical Practice, Pc is an health care organization with primary practice located at 30 Erie Canal Dr Suite E, Rochester NY 14626-4604. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as the primary health care specialty. Lakeshore Surgical Practice, Pc can be contacted via phone (585) 637-2930, or through King, Richard J via phone (585) 637-2930.

Contact Information

Primary practice address
30 Erie Canal Dr Suite E Rochester NY 14626-4604
Phone: (585) 637-2930
Fax: (585) 637-2930
Website:
Map and Directions
Authorized official contact:
Name: King, Richard J Doctor of Medicine (MD)
Phone: (585) 637-2930

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 239232 New York

Profile Details

NPI number 1578998696
LBN Legal business name Lakeshore Surgical Practice, Pc
DBA Doing business as
Authorized official King, Richard J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2013
Last updated Sep 9th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578998696 NPPES
New York MEDICAID 02752716

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