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

Lakeshore Family Medicine Assoc PC

Organization Family Medicine Physician · NPI 1295832418

Lakeshore Family Medicine Assoc PC is a Family Medicine Physician in Derby, New York. Licensed in New York. Registered with an NPI since 2006.

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

See every abbreviation used in this directory →

Practice location Address checks out

7060 Erie Rd
Derby, NY 14047-9306
Phone: (716) 947-0408
Fax: (716) 947-0413
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 154802 (NY)

Record details

NPI number1295832418
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Maclean — President · (716) 947-4851
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 30, 2008
Mailing address7060 Erie Rd, Derby, NY 14047-9306

Other providers in Derby