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Organization
LAKESIDE MEMORIAL HOSPITAL INC.
Active
Organization
LAKESIDE MEMORIAL HOSPITAL INC.
Active
Parent organization
LAKESIDE MEMORIAL HOSPITAL INC.
Other names
Lakeside Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESIDE MEMORIAL HOSPITAL INC.
Authorized official
MS. STACEY SSHARE MD (BILLER)
(585) 395-6095
Entity
Organization
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 395-6095
Mailing address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 395-6095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/15/2010
Last updated
07/13/2010
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