Organization
LAKES CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY KOZLOWSKI (OWNER)
(248) 217-1314
Entity
Organization
Contact information
Practice address
9640 COMMERCE RD STE 106, COMMERCE TWP, MI 48382-4167
(248) 217-1314
Mailing address
9640 COMMERCE RD STE 106, COMMERCE TWP, MI 48382-4167
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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