NPI 1013236215

Lakeshore Ear and Hearing Associates LLC

Organisation Plastic Surgery within the Head & Neck (Otolaryngology) Physician Grand Haven, MI

Practice location

Address: 1101 Columbus Ave, Grand Haven, MI 49417-1556
Phone: (616) 847-3144

Authorised official

Name: Kristin Kay Johnston
Title: Co-Owner
Phone: (616) 847-3144

Registered specialties

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X

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Registry record

NPI: 1013236215
Entity type: Organization
NPI issued: 27 May 2010
Record last updated: 27 May 2010

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.