Lakeshore Family Medicine Associates PC
Lakeshore Family Medicine Associates PC is a Non-Pharmacy Dispensing Site in Derby, New York. Licensed in New York. Registered with an NPI since 2014.
- Licensed in
- NY
- In the registry since
- 2014
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
7060 Erie Rd Ste 100Derby, NY 14047-9430
Phone: (716) 947-0408
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence 233142 (NY) |
|---|
Record details
| NPI number | 1801211826 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Vp Of Operations · (858) 964-1506 |
| Other names | Lakeshore Family Medicine Derby |
| NPI enumerated | February 27, 2014 |
| Last updated in NPPES | February 27, 2014 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |