Lakeshore Speech Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LAKESHORE SPEECH SERVICES, LLC

Practice address

8900 Mica Dr
Zeeland, MI 49464-8344

Phone

(616) 405-6653

NPI assigned

Jan 30, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Konynenbelt

Title

Speech Language Pathologist

Phone

(616) 405-6653

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1215435748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 MICA DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 MICA DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648344",
            "telephone_number": "616-405-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE SPEECH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "KONYNENBELT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "616-405-6653"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caley R Ladomer
• Sarah Marie Lagrand, CNM, MSN
• Carley Laird
• Lakeshore Health Partners - Family Medicine
• Lakeshore Mobile M.D., P.C.
• Marta Langley, MD
• Toni Larson, PHARMD
• Kenna Laskovy, DO
• Hannah Laszlo
• Yoomi Lee, DDS

• Speech-Language Pathologist in Zeeland, MI
• Providers in Zeeland, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.