Lakeshore Professional LLC

NPI #1487998829 in Muskegon, Michigan

Provider Information

NPI Number: 1487998829
Entity Type: Organization
Organization Name: Lakeshore Professional LLC
Primary Specialty: Home Health
Enumeration Date: Nov 26, 2012
Last Updated: Nov 26, 2012

Practice Location

Address: 3375 MERRIAM ST
Address 2: SUITE 202
City: Muskegon
State: Michigan
ZIP Code: 49444-3173
Phone: (231) 571-4179

Authorized Official

Name: TANYA THOMAS
Title: OWNER
Phone: (231) 571-4179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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