Lakeshore Spine and Pain PC

NPI #1699043299 in Ludington, Michigan

Provider Information

NPI Number
1699043299
Entity Type
Organization
Organization Name
Lakeshore Spine and Pain PC
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Dec 9, 2011
Last Updated
Dec 12, 2011

Practice Location

Address
5511 W US HIGHWAY 10
Address 2
SUITE B
ZIP Code
49431-2455
Phone
(231) 843-1553

Authorized Official

Name
RAJ MAKWANA
Title
ADMINISTRATOR
Phone
(231) 843-1553

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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