Organization
LAKESIDE URGENT CARE CENTER
Active
Parent organization
LAKESIDE MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESIDE MEMORIAL HOSPITAL
Authorized official
MICHAEL STAPLETON (CEO)
(585) 395-6095
Entity
Organization
Contact information
Practice address
42 NICHOLS STREET, SUITE 1, SPENCERPORT, NY 14559
(585) 349-7094
Mailing address
42 NICHOLS STREET, SUITE 1, SPENCERPORT, NY 14559
(585) 349-7094
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
09/14/2009
Last updated
12/03/2009
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