Organization
LAKESHORE SURGICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH F PLATT (BILLING SUPERVISOR)
(315) 986-7882
Entity
Organization
Contact information
Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(315) 986-7882
(315) 986-4768
Mailing address
156 WEST AVE, BROCKPORT, NY 14420-1229
(315) 986-7882
(315) 986-4768
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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