Lakeshore Surgical Practice, PC

NPI #1801173448 in Brockport, New York

Provider Information

NPI Number: 1801173448
Entity Type: Organization
Organization Name: Lakeshore Surgical Practice, PC
Primary Specialty: Surgery
Enumeration Date: Nov 10, 2011
Last Updated: Nov 10, 2011

Practice Location

Address: 156 WEST AVE
City: Brockport
State: New York
ZIP Code: 14420-1229
Phone: (315) 986-7882

Authorized Official

Name: MRS. ELIZABETH F PLATT
Title: BILLING SUPERVISOR
Phone: (315) 986-7882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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