Lakeshore Community Hospital, Inc.

NPI #1467732537 in Shelby, Michigan

Provider Information

NPI Number: 1467732537
Entity Type: Organization
Organization Name: Lakeshore Community Hospital, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: LAKESHORE COMMUNITY HOSPITAL, INC.
Primary Specialty: Family Medicine
Enumeration Date: Aug 22, 2011
Last Updated: Aug 22, 2011

Practice Location

Address: 71 BEVIER ST
City: Shelby
State: Michigan
ZIP Code: 49455-1239
Phone: (231) 861-2172

Authorized Official

Name: MRS. COLLEEN JOHNSON, CMPE FABC
Title: CLINIC MANAGER
Phone: (231) 861-2172

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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