Lakeshore Eye Consultants, LLC
NPI #1073125076 in Michigan City, Indiana
Provider Information
- NPI Number
- 1073125076
- Entity Type
- Organization
- Organization Name
- Lakeshore Eye Consultants, LLC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Aug 20, 2020
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 1225 E COOLSPRING AVE
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-6312
- Phone
- (765) 414-3876
Authorized Official
- Name
- MARC BOOTH, M.D.
- Title
- OWNER/PHYSICIAN
- Phone
- (765) 414-3876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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