Provider Demographics
NPI:1891587432
Name:LAKESIDE AUDIOLOGY AND HEARING SOLUTIONS, LLC
Entity type:Organization
Organization Name:LAKESIDE AUDIOLOGY AND HEARING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:HELFER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:585-737-0663
Mailing Address - Street 1:229 PARRISH ST STE 250A
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1795
Mailing Address - Country:US
Mailing Address - Phone:585-412-6967
Mailing Address - Fax:
Practice Address - Street 1:229 PARRISH ST STE 250A
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1795
Practice Address - Country:US
Practice Address - Phone:585-412-6967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty