Lakeshore Orthopedic Group P.c.

NPI #1982834271 in Irving, New York

Provider Information

NPI Number: 1982834271
Entity Type: Organization
Organization Name: Lakeshore Orthopedic Group P.c.
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Jul 21, 2009
Last Updated: Jan 25, 2011

Practice Location

Address: 849 RTS 5 & 20
Address 2: SUITE 1
City: Irving
State: New York
ZIP Code: 14081
Phone: (716) 934-3493

Authorized Official

Name: JASON CONANT
Title: PRACTICE ADMINISTRATOR
Phone: (716) 366-7150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Orthopaedic Surgery	207X00000X	Primary

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