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

Lakeside Family Practice PLLC

Organization Family Medicine Physician · NPI 1205919917

Lakeside Family Practice PLLC is a Family Medicine Physician in Morgantown, West Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

933 Cheat Rd
Morgantown, WV 26508-5631
Phone: (304) 594-2400
Fax: (304) 594-2256
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 number1205919917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Hawthorne — President · (304) 594-2400
NPI enumeratedOctober 24, 2006
Last updated in NPPESMay 9, 2011
Mailing address933 Cheat Rd, Morgantown, WV 26508-5631

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