Organization
LAKESIDE MEMORIAL HOSPITAL INC.
Active
Parent organization
LAKESIDE MEMORIAL HOSPITAL INC.
Other names
Lakeside Orthopaedics
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESIDE MEMORIAL HOSPITAL INC.
Authorized official
RANDI L MALONEY (BILLER)
(585) 395-6095
Entity
Organization
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 395-6065
(585) 395-6018
Mailing address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 395-6065
(585) 395-6018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/02/2010
Last updated
07/13/2010
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