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

Lakeside Family Medicine

Organization Family Medicine Physician · NPI 1295064178

Lakeside Family Medicine provides Family Medicine Physician services in Kingston, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2009.

Licensed in
OK
In the registry since
2009

Practice location Address checks out

21 N Main St
Kingston, OK 73439-1798 Not confirmed with CMS for 16 years — call before visiting
Phone: (580) 226-1010
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 19862 (OK)

Record details

NPI number1295064178
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Ahearn — Owner/President · (580) 226-1010
NPI enumeratedDecember 23, 2009
Last updated in NPPESDecember 23, 2009
Mailing addressPo Box 1798, Kingston, OK 73439-1798

Other providers in Kingston