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

Lake Champlain Physician Services

Organization Internal Medicine Physician · NPI 1083915268

Lake Champlain Physician Services is an Internal Medicine Physician in Plattsburgh, New York. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

210 Cornelia St Ste 303
Plattsburgh, NY 12901-2318
Phone: (518) 562-7541
Fax: (518) 562-7542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1083915268
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wouter Rietsema — President · (518) 562-7330
NPI enumeratedNovember 4, 2010
Last updated in NPPESNovember 4, 2010
Mailing addressPo Box 2868, Plattsburgh, NY 12901-0259

Other providers in Plattsburgh