NPI 1356481493

Lakeside Ent, P.C.

Organisation Otolaryngology Physician Holland, MI

Practice location

Address: 577 Michigan Ave Suite 101, Holland, MI 49423-4911
Phone: (616) 393-2190
Fax: (616) 393-0147

Authorised official

Name: Peter J Vandermeer
Title: Treasurer
Phone: (616) 393-2190

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Michigan →

Registry record

NPI: 1356481493
Entity type: Organization
NPI issued: 7 Feb 2007
Record last updated: 18 Dec 2009

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.