LAKESIDE FAMILY MEDICINE

Family Medicine

Active Organization
NPI: 1295064178

Practice Address

21 N. MAIN STREET
Kingston, OK 73439

Phone: (580) 226-1010

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 19862 (OK)

Frequently Asked Questions

NPI 1295064178 is the National Provider Identifier for LAKESIDE FAMILY MEDICINE, a Family Medicine provider located in Kingston, OK. This NPI was enumerated on December 23, 2009.

Quick Facts

NPI
1295064178
Type
Organization
Enumerated
Dec 23, 2009
Last Updated
Dec 23, 2009

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