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

Lakeside Family Medicine

Organization Family Medicine Physician · NPI 1790188639

Lakeside Family Medicine provides Family Medicine Physician services in Kingston, Oklahoma. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

714 Hwy 70 E
Kingston, OK 73439 Not confirmed with CMS for 12 years — call before visiting
Phone: (580) 564-0200
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 number1790188639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Ahearn — Owner · (580) 564-0200
NPI enumeratedOctober 7, 2014
Last updated in NPPESOctober 7, 2014
Mailing addressPo Box 1798, Kingston, OK 73439-1798

Other providers in Kingston