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NPI Code Detail

MEDICARE: LAKESIDE PEDIATRICS PC

MEDICARE: LAKESIDE PEDIATRICS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1184580532
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAKESIDE PEDIATRICS PC
Provider Business Mailing Address
First Line : 11011 HEFNER POINTE DR STE A
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-5005
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11011 HEFNER POINTE DR STE A
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-5005
Country : US
Telephone Number : 405-479-8300
Fax Number : 405-212-3606
Authorized Official
Title or Position : MD/OWNER
Name : HAMED ALBIEK
Credential : MD
Telephone Number : 405-479-8300
Provider Enumeration Date : 12/30/2025
Last Update Date : 01/05/2026

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Directions to “LAKESIDE PEDIATRICS PC ” Practice Location

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