Lakeside Memorial Hospital Inc.

NPI #1942359989 in Brockport, New York

Provider Information

NPI Number: 1942359989
Entity Type: Organization
Organization Name: Lakeside Memorial Hospital Inc.
Primary Specialty: General Practice
Enumeration Date: Jan 9, 2007
Last Updated: Mar 25, 2011

Practice Location

Address: 156 WEST AVE
City: Brockport
State: New York
ZIP Code: 14420
Phone: (585) 395-6095

Authorized Official

Name: MICHELLE KINGDOLLAR
Title: ACCOUNTS RECEIVABLE MANAGER
Phone: (585) 395-6095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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