Lake Shore Clinic
NPI #1366566424 in Culver, Indiana
Provider Information
- NPI Number
- 1366566424
- Entity Type
- Organization
- Organization Name
- Lake Shore Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 16, 2007
- Last Updated
- Jun 21, 2018
Practice Location
Authorized Official
- Name
- JUDITH A DEERY, RN
- Title
- BUSINESS MANAGER
- Phone
- (574) 842-3327
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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