NPI | 1518020585 |
---|---|
Doing Business As | LAKESHORE MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | COLLEEN B JOHNSON Practice Executive 231-728-5910 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-12-19 |
Last Update Date | 2008-02-06 |