Lakeside Memorial Hospital Inc.

NPI #1972522670 in Brockport, New York

Provider Information

NPI Number: 1972522670
Entity Type: Organization
Organization Name: Lakeside Memorial Hospital Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: LAKESIDE MEMORIAL HOSPITAL INC.
Primary Specialty: Specialist
Enumeration Date: Jul 19, 2006
Last Updated: Jul 13, 2010

Practice Location

Address: 156 WEST AVE
Address 2: SUITE 104
City: Brockport
State: New York
ZIP Code: 14420-1229
Phone: (585) 637-6040

Authorized Official

Name: MS. STACEY SHARE
Title: MEDICAL BILLER
Phone: (585) 637-6040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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