Organization
LAKESHORE EYE CONSULTANTS, LLC
Active
Other names
Lakeshore Eye Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MARC BOOTH M.D. (OWNER/PHYSICIAN)
(765) 414-3876
Entity
Organization
Contact information
Practice address
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6312
(765) 414-3876
Mailing address
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6312
(765) 414-3876
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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