Lakeshore Clinic, PLLC
Organization Active NPI Primary Care Clinic/Center · Muskegon Heights, MI
NPI 1003036732 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1003036732
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 5101006386 (MI)
- Legal business name
- LAKESHORE CLINIC, PLLC
- Practice address
- 445 E Sherman Blvd
Muskegon Heights, MI 49444-2203 - Phone
- (231) 739-4359
- Fax
- (231) 733-6151
- NPI assigned
- Apr 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Darien Lamarck Smith
- Title
- Director
- Phone
- (231) 739-4359
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 5101006386 | MI | Yes |
Addresses
Primary practice location
445 E Sherman Blvd
Muskegon Heights, MI 49444-2203
Mailing address
445 E Sherman Blvd
Muskegon Heights, MI 49444-2203
Phone (231) 739-4359
Other providers in Muskegon Heights, MI
- Emily Noelle Johnsey
- Joshua John Joshua
- Benjamin Paul Kairis
- John Kasza
- Erica King
- Madda, Inc.
- Teandrea Lynette McDaniel
- Troy McLouth
- Madison Taylor Meyers
- Randolph Robert Moeller
All providers in Muskegon Heights, MI · Primary Care Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.