| NPI | 1982855144 |
|---|---|
| Doing Business As | LAKESHORE MEDICAL CENTER SHELBY |
| Entity Type | Organization |
| Authorized Contact | COLLEEN JOHNSON Practice Administrator 231-728-5910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2014-04-25 |