# LAKESIDE MEMORIAL HOSPITAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKESIDE MEMORIAL HOSPITAL INC.
- **Other names:** GENESEE FAMILY PRACTICE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922144328
- **Legal business name:** LAKESIDE MEMORIAL HOSPITAL INC.
- **Authorized official:** DR. VLADIMIR GASPAR (PHYSICIAN)
- **Authorized official phone:** (585) 768-2620

## Contact information

- **Practice address:** 8745 LAKE STREET RD, LE ROY, NY 14482-9344
- **Practice address phone:** (585) 768-2620
- **Practice address fax:** (585) 768-2694
- **Mailing address:** 8745 LAKE STREET RD, LE ROY, NY 14482-9344
- **Mailing address phone:** (585) 768-2620
- **Mailing address fax:** (585) 768-2694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 07/13/2010