Lakeshore Vein &laser Clinic Pllc

NPI #1083753479 in Ludington, Michigan

Provider Information

NPI Number
1083753479
Entity Type
Organization
Organization Name
Lakeshore Vein &laser Clinic Pllc
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Feb 5, 2007
Last Updated
Jun 18, 2009

Practice Location

Address
5 N ATKINSON DR
Address 2
SUITE 304
ZIP Code
49431-2918
Phone
(231) 843-2600

Authorized Official

Name
DR. ANTHONY G FABAZ, DO
Title
OWNER
Phone
(231) 843-2600

Specialties & Taxonomy Codes

Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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