Lakeshore Family Medicine Associates PC
NPI #1801211826 in Derby, New York
Provider Information
- NPI Number
- 1801211826
- Entity Type
- Organization
- Organization Name
- Lakeshore Family Medicine Associates PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 27, 2014
- Last Updated
- Feb 27, 2014
Practice Location
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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