Lake Region Urology

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

195558 Issued in NY

Legal business name

LAKE REGION UROLOGY

Practice address

192 Genesee St
Auburn, NY 13021-3361

Phone

(315) 258-5253

Fax

(315) 258-0202

NPI assigned

Feb 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Hastings Foresman, M.D.

Title

President

Phone

(315) 258-5253

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1306819230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213361",
            "telephone_number": "315-258-5253",
            "fax_number": "315-258-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130213361",
            "telephone_number": "315-258-5253",
            "fax_number": "315-258-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "FORESMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HASTINGS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-258-5253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "195558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Svetlana Kuksgauzen, RN
• Angela Marie Kulis, RN
• Monica Maureen Lacey-Hastings, LMSW
• Chad Michael Lachance, P.T., D.P.T.
• Jeffrey Robert Laduca, PH. D, MD
• Lakes Radiology PLLC
• Rachel Jan Lamay, MT
• Landers Chiropractic, PC
• Brian F. Landers, DC
• Angela Renee Langford, PT

• Health Maintenance Organization in Auburn, NY
• Providers in Auburn, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.