Organization
LAKESIDE FOOT & ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN HASELSBERGER DPM (OWNER)
(336) 339-9603
Entity
Organization
Contact information
Practice address
50 SQUARE DR STE 1000, VICTOR, NY 14564-1062
(585) 233-3826
Mailing address
50 SQUARE DR STE 1000, VICTOR, NY 14564-1062
(585) 233-3826
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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