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

Lakeside Family Practice PLLC

Organization Family Medicine Physician · NPI 1205919917

Lakeside Family Practice PLLC provides Family Medicine Physician services in Morgantown, West Virginia. Registered with an NPI since 2006.

In the registry since
2006
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

933 Cheat Rd
Morgantown, WV 26508-5631 Not confirmed with CMS for 15 years — call before visiting
Phone: (304) 594-2400
Fax: (304) 594-2256
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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

Record details

NPI number1205919917
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Hawthorne — President · (304) 594-2400
NPI enumeratedOctober 24, 2006
Last updated in NPPESMay 9, 2011
Mailing address933 Cheat Rd, Morgantown, WV 26508-5631

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