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

Lakeside Family Medicine

Organization Family Medicine Physician · NPI 1295064178

Lakeside Family Medicine is a Family Medicine Physician in Kingston, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in
OK
In the registry since
2009

Practice location Address checks out

21 N Main St
Kingston, OK 73439-1798
Phone: (580) 226-1010
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 19862 (OK)

Record details

NPI number1295064178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Ahearn — Owner/President · (580) 226-1010
NPI enumeratedDecember 23, 2009
Last updated in NPPESDecember 23, 2009
Mailing addressPo Box 1798, Kingston, OK 73439-1798

Other providers in Kingston