Organization
LAKESIDE MEMORIAL HOSPITAL INC.
Active
Parent organization
LAKESIDE MEMORIAL HOSPITAL INC.
Other names
Lakeside Emergency
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKESIDE MEMORIAL HOSPITAL INC.
Authorized official
MICHAEL STAPLETON (CEO)
(585) 395-6095
Entity
Organization
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 395-6095
(585) 395-6036
Mailing address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 395-6095
(585) 395-6036
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
NY
261QE0002X
Emergency Care Clinic/Center
—
NY
Other
Enumeration date
09/18/2009
Last updated
07/14/2010
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