Organization
LAKESHORE SPINE AND PAIN PC
Active
Other names
Accessible Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ MAKWANA (ADMINISTRATOR)
(231) 843-1553
Entity
Organization
Contact information
Practice address
5511 W US HIGHWAY 10, SUITE B, LUDINGTON, MI 49431-2455
(231) 843-1553
Mailing address
5511 W US HIGHWAY 10, SUITE B, LUDINGTON, MI 49431-2455
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/12/2011
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