Lakeshore Family Medicine Assoc Pc

NPI 1295832418 - Family Medicine - 207Q00000X

NPI Details
NPI 1295832418
Enumeration Date 09/20/2006
Last Updated 07/30/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CRAIG K CRAIG
Position PRESIDENT
Phone (716) 947-0408
Fax (716) 947-0413
Practice Location
7060 ERIE RD
DERBY NY, 14047-9306, US
Phone (716) 947-0408
Fax (716) 947-0413
Business Location
7060 ERIE RD
DERBY NY, 14047-9306, US
Phone (716) 947-0408
Fax (716) 947-0413
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 154802
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According to our database, Lakeshore Family Medicine Assoc Pc NPI is 1295832418, taxonomy code is 207Q00000X and license number is 154802, license state is located at New York. Lakeshore Family Medicine Assoc Pc physically located at 7060 Erie Rd, Derby NY, 14047-9306. NPI Number 1033115704 has the healthcare provider type.

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1295832418 NPI number is provided on an as is basis without warranty of any kind. 1295832418 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshore Family Medicine Assoc Pc are for informational purposes only.