# LAKESIDE HEALTHCARE SPECIALISTS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467527648
- **Authorized official:** SHARON DESKINS MD (PHYSICIAN OWNER)
- **Authorized official phone:** (269) 983-0500

## Contact information

- **Practice address:** 3950 HOLLYWOOD RD, SUITE 270, SAINT JOSEPH, MI 49085-9159
- **Practice address phone:** (269) 983-0500
- **Practice address fax:** (269) 429-2240
- **Mailing address:** 3950 HOLLYWOOD RD, SUITE 270, SAINT JOSEPH, MI 49085-9159
- **Mailing address phone:** (269) 983-0500
- **Mailing address fax:** (269) 429-2240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | AP062392 | MI | — |
| 207R00000X | Internal Medicine Physician | DP065168 | MI | — |
| 207R00000X | Internal Medicine Physician | KA036485 | MI | — |
| 207R00000X | Internal Medicine Physician | MS007105 | MI | Yes |
| 207R00000X | Internal Medicine Physician | SD062237 | MI | — |
| 207R00000X | Internal Medicine Physician | SW015533 | MI | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | VS046079 | MI | — |
| 207RP1001X | Pulmonary Disease Physician | SS036858 | MI | — |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 02/03/2016