NPI 1003036732

Lakeshore Clinic, PLLC

Organisation Primary Care Clinic/Center Muskegon Heights, MI

Practice location

Address: 445 E Sherman Blvd, Muskegon Heights, MI 49444-2203
Phone: (231) 739-4359
Fax: (231) 733-6151

Authorised official

Name: Darien Lamarck Smith
Title: Director
Phone: (231) 739-4359

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 5101006386 (MI)

Other Clinic/Center providers in Michigan →

Registry record

NPI: 1003036732
Entity type: Organization
NPI issued: 26 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.