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Organization
LAKESHORE SPINE AND PAIN PC
Active
Organization
LAKESHORE SPINE AND PAIN PC
Active
Other names
Accessible Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ MAKWANA (ADMINISTRATOR)
(231) 843-1553
Entity
Organization
Contact information
Practice address
5511 W US HIGHWAY 10, SUITE B, LUDINGTON, MI 49431-2455
(231) 843-1553
Mailing address
5511 W US HIGHWAY 10, SUITE B, LUDINGTON, MI 49431-2455
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/09/2011
Last updated
12/12/2011
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