Lake Shore Pulmonology, Plc
NPI #1245283696 in Spring Lake, Michigan
Provider Information
- NPI Number
- 1245283696
- Entity Type
- Organization
- Organization Name
- Lake Shore Pulmonology, Plc
- Primary Specialty
- Internal Medicine - Pulmonary Disease
- Enumeration Date
- May 18, 2006
- Last Updated
- Apr 8, 2010
Practice Location
- Address
- 17357 VAN WAGONER RD
- Address 2
- SUITE 2
- City
- Spring Lake
- State
- Michigan
- ZIP Code
- 49456-9702
- Phone
- (616) 847-1009
Authorized Official
- Name
- MARK JAMES IVEY, M.D.
- Title
- OWNER/PHYSICIAN
- Phone
- (616) 847-1009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Critical Care Medicine — Critical Care Medicine |
| Internal Medicine - Sleep Medicine — Sleep Medicine |
| Internal Medicine - Pulmonary Disease — Pulmonary Disease |
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