LAKESHORE FAMILY MEDICINE ASSOCIATES PC

DERBY, NY
NPI1801211826
Doing Business AsLAKESHORE FAMILY MEDICINE DERBY
Entity TypeOrganization
Authorized ContactKENNY HEINE
VP Of Operations
858-964-1506
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
(Licence: NY  233142)
Enumeration Date2014-02-27
Last Update Date2014-02-27
Business Address
LAKESHORE FAMILY MEDICINE ASSOCIATES PC
7060 ERIE RD SUITE 100
DERBY, NY 14047-9430
Phone number: 716-947-0408
Mailing Address
LAKESHORE FAMILY MEDICINE ASSOCIATES PC
5626 OBERLIN DR SUITE 110
SAN DIEGO, CA 92121-1705
Phone number: