Lakeside Family Medicine
NPI #1790188639 in Kingston, Oklahoma
Provider Information
- NPI Number
- 1790188639
- Entity Type
- Organization
- Organization Name
- Lakeside Family Medicine
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 7, 2014
- Last Updated
- Oct 7, 2014
Practice Location
Authorized Official
- Name
- PAMELA AHEARN, MD
- Title
- OWNER
- Phone
- (580) 564-0200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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