NPI 1184796559

Lakeside House, INC.

Organisation Exclusive Provider Organization Saranac Lake, NY

Practice location

Address: 33 Riverside Dr, Saranac Lake, NY 12983-2212
Phone: (518) 891-0815

Authorised official

Name: Barbara J. Ryan
Title: Finance Manager
Phone: (518) 891-0815

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 01317326

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Registry record

NPI: 1184796559
Entity type: Organization
NPI issued: 14 Nov 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.