Lakeside Memorial Hospital Inc.

NPI #1730392929 in Brockport, New York

Provider Information

NPI Number
1730392929
Entity Type
Organization
Organization Name
Lakeside Memorial Hospital Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
LAKESIDE MEMORIAL HOSPITAL INC.
Primary Specialty
General Acute Care Hospital
Enumeration Date
May 7, 2007
Last Updated
Jul 14, 2010

Practice Location

Address
80 WEST AVE
Address 2
SUITE 209
ZIP Code
14420-1322
Phone
(585) 637-6044

Authorized Official

Name
MICHAEL STAPLETON
Title
CEO
Phone
(585) 395-6095

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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