| NPI | 1720175656 |
|---|---|
| Doing Business As | LAKESHORE ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | JON RING Vice President Physician Services 920-320-8427 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-10-29 |