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

Lakeshore Surgical Practice, PC

Organization Surgical Critical Care Physician · NPI 1578998696

Lakeshore Surgical Practice, PC is a Surgical Critical Care Physician in Rochester, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

30 Erie Canal Dr Ste E
Rochester, NY 14626-4604
Phone: (585) 637-2930
Fax: (585) 637-2930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 239232 (NY)

Record details

NPI number1578998696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard King — Physician · (585) 637-2930
NPI enumeratedSeptember 9, 2013
Last updated in NPPESSeptember 9, 2013
Mailing address1 Park Ave, Brockport, NY 14420-1913

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