OrganizationActive
Lakeside House, Inc.
NPI 1184796559 · Exclusive Provider Organization · Saranac Lake, NY
Provider details
- NPI number
- 1184796559
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Barbara Ryan, Finance Manager(518) 891-0815
- License
- 01317326
Specialties & taxonomies
Managed Care Organizations
Practice location
33 Riverside Dr
Saranac Lake, NY 12983-2212
Phone: (518) 891-0815
Approximate (ZIP-level) locationGet directions
Mailing address
33 Riverside Dr
Saranac Lake, NY 12983-2212
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.