Lakeshore Spine And Pain P C

NPI 1245260371 - Specialist - 174400000X

NPI Details
NPI 1245260371
Enumeration Date 07/04/2006
Last Updated 06/03/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RAJ C RAJ
Position ADMINISTRATOR
Phone (231) 843-1553
Fax (231) 845-7056
Practice Location
5511 W US HIGHWAY 10
LUDINGTON MI, 49431-2455, US
Phone (231) 843-1553
Fax (231) 845-7056
Business Location
5511 W US HIGHWAY 10
LUDINGTON MI, 49431-2455, US
Phone (231) 843-1553
Fax (231) 845-5515
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Lakeshore Spine And Pain P C NPI is 1245260371, taxonomy code is 174400000X Lakeshore Spine And Pain P C physically located at 5511 W Us Highway 10, Ludington MI, 49431-2455. NPI Number 1033115704 has the healthcare provider type.

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1245260371 NPI number is provided on an as is basis without warranty of any kind. 1245260371 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeshore Spine And Pain P C are for informational purposes only.