Organization
LAKESIDE ENT & ALLERGY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LAROCCA (CHIEF OPERATING OFFICER)
(585) 394-8800
Entity
Organization
Contact information
Practice address
229 PARRISH ST, SUITE 250, CANANDAIGUA, NY 14424-1795
(585) 394-8800
(585) 394-5942
Mailing address
229 PARRISH ST, SUITE 250, CANANDAIGUA, NY 14424-1791
(585) 394-8800
(585) 394-8800
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03463729
—
NY
Enumeration date
07/22/2006
Last updated
01/31/2025
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