Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Shore Family Medicine, PA

Organization Family Medicine Physician · NPI 1457463085

Lake Shore Family Medicine, PA provides Family Medicine Physician services in Waco, Texas. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2100 Lake Shore Dr
Waco, TX 76708-1271
Phone: (254) 755-0088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1457463085
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karl Trippe — President · (254) 755-0088
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2100 Lake Shore Dr, Waco, TX 76708-1271

Other providers in Waco