Lake Region Urology

NPI #1306819230 in Auburn, New York

Provider Information

NPI Number
1306819230
Entity Type
Organization
Organization Name
Lake Region Urology
Primary Specialty
Health Maintenance Organization
Enumeration Date
Feb 10, 2006
Last Updated
Jun 19, 2008

Practice Location

Address
192 GENESEE ST
City
Auburn
ZIP Code
13021-3361
Phone
(315) 258-5253

Authorized Official

Name
DR. WILLIAM HASTINGS FORESMAN, M.D.
Title
PRESIDENT
Phone
(315) 258-5253

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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