Organization
LAKESHORE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIEN LAMARCK SMITH (DIRECTOR)
(231) 739-4359
Entity
Organization
Contact information
Practice address
445 E SHERMAN BLVD, MUSKEGON HEIGHTS, MI 49444-2203
(231) 739-4359
(231) 733-6151
Mailing address
445 E SHERMAN BLVD, MUSKEGON HEIGHTS, MI 49444-2203
(231) 739-4359
(231) 733-6151
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
5101006386
MI
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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