| NPI | 1336385996 |
|---|---|
| Former Legal Business Name | LAKESHORE MEDICAL CENTER RHC |
| Entity Type | Organization |
| Authorized Contact | COLLEEN BETH JOHNSON Practice Administrator 231-728-5910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2014-02-25 |