Lakeshore Family Medicine Assoc PC

NPI #1295832418 in Derby, New York

Provider Information

NPI Number: 1295832418
Entity Type: Organization
Organization Name: Lakeshore Family Medicine Assoc PC
Primary Specialty: Family Medicine
Enumeration Date: Sep 20, 2006
Last Updated: Jul 30, 2008

Practice Location

Address: 7060 ERIE RD
City: Derby
State: New York
ZIP Code: 14047-9306
Phone: (716) 947-0408

Authorized Official

Name: CRAIG K MACLEAN, DO
Title: PRESIDENT
Phone: (716) 947-4851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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