Lakeside House, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

01317326

Legal business name

LAKESIDE HOUSE, INC.

Practice address

33 Riverside Dr
Saranac Lake, NY 12983-2212

Phone

(518) 891-0815

NPI assigned

Nov 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Barbara J. Ryan

Title

Finance Manager

Phone

(518) 891-0815

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184796559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 RIVERSIDE DR",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 RIVERSIDE DR",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129832212",
            "telephone_number": "518-891-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "518-891-0815",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": "01317326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine B Kraft, PT
• Megan Labar, LMHC-D
• Harley William Labarge Jr.
• Janess Laflamme
• Penny Ann Lagoy
• Joann E Latourelle, CASAC
• Edgar Lawrence
• Justine Lawrence, PA-C
• Karli Marie Lawson, LMSW
• Maria Jane Leidig-Law, M. ED.

• Exclusive Provider Organization in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.