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Organization
LAKESIDE MEMORIAL HOSPITAL INC.
Active
Organization
LAKESIDE MEMORIAL HOSPITAL INC.
Active
Parent organization
LAKESIDE MEMORIAL HOSPITAL INC.
Other names
GENESEE FAMILY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESIDE MEMORIAL HOSPITAL INC.
Authorized official
DR. VLADIMIR GASPAR (PHYSICIAN)
(585) 768-2620
Entity
Organization
Contact information
Practice address
8745 LAKE STREET RD, LE ROY, NY 14482-9344
(585) 768-2620
(585) 768-2694
Mailing address
8745 LAKE STREET RD, LE ROY, NY 14482-9344
(585) 768-2620
(585) 768-2694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/13/2010
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