# LAKESIDE HEALTH SYSTEM

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

## Provider details

- **NPI number:** 1790996056
- **Authorized official:** MS. KAREN A. BAKER RD, CDE (REGISTERED DIETITIAN)
- **Authorized official phone:** (585) 395-6044

## Contact information

- **Practice address:** 1173 PECK RD, HILTON, NY 14468-9347
- **Practice address phone:** (585) 366-4082
- **Mailing address:** 156 WEST AVE, FAMILY WELLNESS CENTER, BROCKPORT, NY 14420-1229
- **Mailing address phone:** (585) 395-6044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 838482 | NY | Yes |

## Other

- **Enumeration date:** 05/25/2007
- **Last updated:** 08/22/2020