| NPI | 1629214739 |
|---|---|
| Doing Business As | LAKESHORE MED PLUS |
| Entity Type | Organization |
| Authorized Contact | COLLEEN BETH JOHNSON Practice Administrator 231-728-5910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2014-03-03 |