Organization
LAKESHORE INTERVENTIONAL PAIN ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIL AHMED MD (OWNER)
(219) 871-0833
Entity
Organization
Contact information
Practice address
1507 WABASH ST, SUITE 400C, MICHIGAN CITY, IN 46360-4300
(219) 871-0833
(219) 871-0836
Mailing address
1507 WABASH ST, SUITE 400C, MICHIGAN CITY, IN 46360-4300
(219) 871-0833
(219) 871-0836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01057031A
IN
251B00000X
Case Management Agency
01057031A
—
Other
Enumeration date
10/24/2007
Last updated
05/05/2009
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