Organization
LAKESIDE INTEGRATIVE NURSE PRACTITIONERS IN PSYCHIATRY, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN RICCI (PMHNP)
(585) 747-0063
Entity
Organization
Contact information
Practice address
256 GALLANT FOX LN, WEBSTER, NY 14580-9033
(585) 747-0063
Mailing address
PO BOX 57, WEBSTER, NY 14580-0057
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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