Lakeside Foot & Ankle LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

LAKESIDE FOOT & ANKLE LLC

Practice address

50 Square Dr Ste 1000
Victor, NY 14564-1062

Phone

(585) 233-3826

NPI assigned

Jun 12, 2023

Last updated

Jun 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian Haselsberger, DPM

Title

Owner

Phone

(336) 339-9603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1972287829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SQUARE DR STE 1000",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641062",
            "telephone_number": "585-233-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SQUARE DR STE 1000",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641062",
            "telephone_number": "585-233-3826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE FOOT & ANKLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "HASELSBERGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-339-9603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kulp Physical Therapy
• Douglas Lloyd Kulp, PT
• Brittany E Labore, MS.ED
• Emily Lacosta
• Lake Plastic and Hand Surgery
• Lakeside Podiatry, PLLC
• Liza Lamberton
• Constantine John Lambropoulos
• Meghan Lang
• Jennifer Lankowsky

• Podiatric Clinic/Center in Victor, NY
• Providers in Victor, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.