Organization
LAKESHORE VEIN &LASER CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY G FABAZ DO (OWNER)
(231) 843-2600
Entity
Organization
Contact information
Practice address
5 N ATKINSON DR, SUITE 304, LUDINGTON, MI 49431-2918
(231) 843-2600
(231) 843-2665
Mailing address
5 N ATKINSON DR, SUITE 304, LUDINGTON, MI 49431-2918
(231) 843-2600
(231) 843-2665
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
5101006766
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1816644
—
MI
Enumeration date
02/05/2007
Last updated
06/18/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us