| NPI | 1871687962 |
|---|---|
| Doing Business As | LAKESHORE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | COLLEEN B JOHNSON Practice Executive 231-728-5910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-01-15 |