Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lake City Primary Care PLLC

Organization Family Medicine Physician · NPI 1164850053

Lake City Primary Care PLLC provides Family Medicine Physician services in Plattsburgh, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16 Degrandpre Way Ste 300
Plattsburgh, NY 12901-6451 Not confirmed with CMS for 12 years — call before visiting
Phone: (518) 561-8256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 210018 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 210018 (NY)

Record details

NPI number1164850053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelley Brault — Office Manager · (518) 561-8256
Other names Richard A Webber Dba Lake City Primary Care
NPI enumeratedOctober 31, 2013
Last updated in NPPESJanuary 17, 2014
Mailing address16 Degrandpre Way, Suite 300, Plattsburgh, NY 12901-6451

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