Lakeshore Clinic, Pllc

NPI 1003036732 - Clinic/Center - 261QP2300X

NPI Details
NPI 1003036732
Enumeration Date 04/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DARIEN LAMARCK DARIEN
Position DIRECTOR
Phone (231) 739-4359
Fax (231) 733-6151
Practice Location
445 E SHERMAN BLVD
MUSKEGON HEIGHTS MI, 49444-2203, US
Phone (231) 739-4359
Fax (231) 733-6151
Business Location
445 E SHERMAN BLVD
MUSKEGON HEIGHTS MI, 49444-2203, US
Phone (231) 739-4359
Fax (231) 733-6151
Toxanomy
Taxonomy Code 261QP2300X
License State Michigan
License Number 5101006386
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According to our database, Lakeshore Clinic, Pllc NPI is 1003036732, taxonomy code is 261QP2300X and license number is 5101006386, license state is located at Michigan. Lakeshore Clinic, Pllc physically located at 445 E Sherman Blvd, Muskegon Heights MI, 49444-2203. NPI Number 1033115704 has the healthcare provider type.

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1003036732 NPI number is provided on an as is basis without warranty of any kind. 1003036732 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshore Clinic, Pllc are for informational purposes only.