Lakeside Physician Group

LBN: Lakeside Memorial Hospital Inc.
Lakeside Physician Group is an health care organization with primary practice located at 156 West Ave , Brockport NY 14420. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Lakeside Memorial Hospital Inc. can be contacted via phone (585) 395-6095, or through Kingdollar, Michelle via phone (585) 395-6095.

Contact Information

Primary practice address
156 West Ave Brockport NY 14420
Phone: (585) 395-6095
Fax: (585) 395-6084
Website:
Map and Directions
Authorized official contact:
Name: Kingdollar, Michelle
Phone: (585) 395-6095

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1942359989
LBN Legal business name Lakeside Memorial Hospital Inc.
DBA Doing business as Lakeside Physician Group
Authorized official Kingdollar, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Mar 25th, 2011 - about 14 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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