LAKESIDE FAMILY MEDICINE

KINGSTON, OK
NPI1790188639
Entity TypeOrganization
Authorized ContactPAMELA AHEARN
Owner
580-564-0200
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2014-10-07
Last Update Date2014-10-07
Business Address
LAKESIDE FAMILY MEDICINE
714 HWY 70 E
KINGSTON, OK 73439
Phone number: 580-564-0200
Mailing Address
LAKESIDE FAMILY MEDICINE
PO BOX 1798
KINGSTON, OK 73439-1798
Phone number: 580-564-0200