LAKESIDE FAMILY PRACTICE PC
NPI 1528176179
Clinic/Center - Primary Care in Raynham, MA

Active since August 25, 2006
416 BROADWAY, RAYNHAM, MA 02767(508) 828-5020(508) 386-1323 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Family Practice Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE FAMILY PRACTICE PC (NPI 1528176179) is a healthcare organization registered as a primary care in Raynham, Massachusetts and active in the NPI registry since August 2006. The organization lists Cheng Chuang, President, as its authorized official.

NPPES Registry Identity

NPI1528176179
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKESIDE FAMILY PRACTICE PC
Location Address416 BROADWAYRaynham, MA 02767-1737
Mailing AddressPo Box 690067Quincy, MA 02269-0067 · (508) 828-5020 · Fax (508) 386-1323
Fax(508) 386-1323
Organization SubpartNo
Authorized OfficialCheng ChuangPresident · (508) 828-5020
Enumeration DateAugust 25, 2006
Last NPPES UpdateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
NPI 1528176179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
416 BROADWAY, Raynham, MA 02767

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
416 BROADWAY
RAYNHAM, MA 02767
Nurse Practitioner (Adult Health)
416 BROADWAY
RAYNHAM, MA 02767

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Family Practice PC's NPI number?

The NPI number for Lakeside Family Practice PC is 1528176179. It was assigned to this organization in the NPPES registry on August 25, 2006.

Where is Lakeside Family Practice PC located?

Lakeside Family Practice PC is located at 416 Broadway, Raynham, MA 02767. The listed phone number is (508) 828-5020.

What is Lakeside Family Practice PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lakeside Family Practice PC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.