Lake Mi ENT PLLC

Primary specialty

Hearing Aid EquipmentTaxonomy code 332S00000X

Legal business name

LAKE MI ENT PLLC

Practice address

1675 Leahy St Ste 201a
Muskegon, MI 49442-5542

Phone

(231) 722-4904

Fax

(231) 722-4804

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Linda Radtke

Title

Biller

Phone

(231) 722-4904

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1457527723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 201A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425542",
            "telephone_number": "231-722-4904",
            "fax_number": "231-722-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 201A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425542",
            "telephone_number": "231-722-4904",
            "fax_number": "231-722-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MI ENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "RADTKE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "231-722-4904"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904711539",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John E Lagorio, MD
• Andrew Henry Lahaie, LLP
• Bambi A Lahaie, LMSW
• Tyson Jay Lahti, DO
• Monica J Lakatos, DDS
• Lake Michigan Emergency Specialists, PLLC
• Lake Michigan ENT PLLC
• Lake Michigan Observation Services PLLC
• Lake-Shore Lawn and More LLC
• Lakeshore Anesthesia Services, PC

• Hearing Aid Equipment in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Hearing Aid Equipment in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.