Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Champlain OB/GYN, PC

Organization Obstetrics & Gynecology Physician · NPI 1891708095

Lake Champlain OB/GYN, PC is an Obstetrics & Gynecology Physician in Plattsburgh, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

206 Cornelia St Ste 306
Plattsburgh, NY 12901-2779
Phone: (518) 566-9452
Fax: (519) 562-7189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1891708095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeannie Van Nostrand — Office Manager · (518) 566-9452
NPI enumeratedAugust 15, 2006
Last updated in NPPESNovember 3, 2014
Mailing address206 Cornelia St, Suite 306, Plattsburgh, NY 12901-2779

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