NPI 1386823540

Lakeshore Interventional Pain Associates, LLC

Organisation Specialist Michigan City, IN

Practice location

Address: 1507 Wabash St Suite 400c, Michigan City, IN 46360-4300
Phone: (219) 871-0833
Fax: (219) 871-0836

Authorised official

Name: Jamil Ahmed
Title: Owner
Phone: (219) 871-0833

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01057031A (IN)

Other Specialist providers in Indiana →

Case Management Agency

Agencies Taxonomy 251B00000X Licence 01057031A

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Registry record

NPI: 1386823540
Entity type: Organization
NPI issued: 24 Oct 2007
Record last updated: 5 May 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.