LAKESIDE FAMILY MEDICINE is a family medicine in Kingston, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LAKESIDE FAMILY MEDICINE NPI is 1295064178. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
21 N. MAIN STREET
KINGSTON, OK
ZIP 73439-798
Phone: (580) 226-1010
The provider's authorized official is Pamela E Ahearn .
The authorized official title is Owner/president and has the following contact phone number (580) 226-1010.
The CLIA number assigned to this NPI record is 37D2000831 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/23/2009 and was last updated on 12/23/2009.