Organization
LAKESIDE HOUSE, INC.
Active
Organization
LAKESIDE HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA J. RYAN (FINANCE MANAGER)
(518) 891-0815
Entity
Organization
Contact information
Practice address
33 RIVERSIDE DR, SARANAC LAKE, NY 12983-2212
(518) 891-0815
Mailing address
33 RIVERSIDE DR, SARANAC LAKE, NY 12983-2212
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
01317326
—
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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