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

Lake City Primary Care PLLC

Organization Family Medicine Physician · NPI 1164850053

Lake City Primary Care PLLC is a Family Medicine Physician in Plattsburgh, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16 Degrandpre Way Ste 300
Plattsburgh, NY 12901-6451
Phone: (518) 561-8256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 210018 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 210018 (NY)

Record details

NPI number1164850053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelley Brault — Office Manager · (518) 561-8256
Other names Richard A Webber Dba Lake City Primary Care
NPI enumeratedOctober 31, 2013
Last updated in NPPESJanuary 17, 2014
Mailing address16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901-6451

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