Lakeside Medical Practice PLLC
Lakeside Medical Practice PLLC is a Clinic/Center in Lakewood, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
133 Fairmount AveLakewood, NY 14750-1948
Phone: (716) 526-1183
Fax: (716) 526-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1518720291 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alicia Snow — Ceo · (716) 526-1183 |
| Other names | Lakeside Medical Practice |
| NPI enumerated | February 5, 2024 |
| Last updated in NPPES | August 7, 2025 |
| Certification date | February 5, 2024 |
| Mailing address | 133 E. Fairmount Avenue, Lakewood, NY 14750-1948 |