Organization
LAKESIDE PODIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HASELSBERGER DPM (OWNER)
(585) 433-5040
Entity
Organization
Contact information
Practice address
50 SQUARE DR STE 1000, VICTOR, NY 14564-1062
(585) 433-5040
(585) 433-5046
Mailing address
50 SQUARE DR STE 1000, VICTOR, NY 14564-1062
(585) 433-5040
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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