| NPI | 1689256539 |
|---|---|
| Doing Business As | LAKESHORE PAIN AND SPINE CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | BRADLEY SILVA Owner/Md 262-484-4035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-08-02 |