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 1790188639

Lakeside Family Medicine is a Family Medicine Physician in Kingston, Oklahoma. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

714 Hwy 70 E
Kingston, OK 73439
Phone: (580) 564-0200
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1790188639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Ahearn — Owner · (580) 564-0200
NPI enumeratedOctober 7, 2014
Last updated in NPPESOctober 7, 2014
Mailing addressPo Box 1798, Kingston, OK 73439-1798

Other providers in Kingston