# LAKESIDE HEALTH CLINIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336492495
- **Authorized official:** LISA HATCH HUBBARD PA-C (OWNER/PA-C)
- **Authorized official phone:** (731) 924-2000

## Contact information

- **Practice address:** 813 E WOOD ST, PARIS, TN 38242-4223
- **Practice address phone:** (731) 924-2000
- **Practice address fax:** (731) 653-0053
- **Mailing address:** PO BOX 1269, PARIS, TN 38242-1269
- **Mailing address phone:** (731) 924-2000
- **Mailing address fax:** (731) 653-0053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2012
- **Last updated:** 10/30/2025