| Lakeshore Clinic, Pllc | |
|
445 E Sherman Blvd Muskegon Heights MI 49444-2203 | |
| (231) 739-4359 | |
| (231) 733-6151 |
| Full Name | Lakeshore Clinic, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 445 E Sherman Blvd, Muskegon Heights, Michigan |
| Authorized Official Name and Position | Darien Lamarck Smith (DIRECTOR) |
| Authorized Official Contact | 2317394359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Clinic, Pllc 445 E Sherman Blvd Muskegon Heights MI 49444-2203 Ph: (231) 739-4359 | Lakeshore Clinic, Pllc 445 E Sherman Blvd Muskegon Heights MI 49444-2203 Ph: (231) 739-4359 |
| NPI Number | 1003036732 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003036732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5101006386 (Michigan) | Primary |