Lakeshore Regional Entity

NPI #1083041297 in Ludington, Michigan

Provider Information

NPI Number
1083041297
Entity Type
Organization
Organization Name
Lakeshore Regional Entity
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 2, 2013
Last Updated
Nov 1, 2016

Practice Location

Address
920 DIANA ST
ZIP Code
49431-1987
Phone
(231) 845-6294

Authorized Official

Name
MR. JEFFREY ALAN LABAN II
Title
CFO
Phone
(231) 769-2046

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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