LAKESIDE FAMILY MEDICINE

KINGSTON, OK
NPI1295064178
Entity TypeOrganization
Authorized ContactPAMELA E AHEARN
Owner/President
580-226-1010
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  19862)
Enumeration Date2009-12-23
Last Update Date2009-12-23
Business Address
LAKESIDE FAMILY MEDICINE
21 N. MAIN STREET
KINGSTON, OK 73439-1798
Phone number: 580-226-1010
Mailing Address
LAKESIDE FAMILY MEDICINE
PO BOX 1798
KINGSTON, OK 73439-1798
Phone number: 580-226-1010
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