Organization
LAKESIDE NEUROLOGY P C
Active
Organization
LAKESIDE NEUROLOGY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY MARTIN (PRACTICE MANAGER)
(586) 777-3375
Entity
Organization
Contact information
Practice address
28573 SCHOENHERR RD, WARREN, MI 48088-4330
(586) 777-3375
(586) 777-3380
Mailing address
28573 SCHOENHERR RD, WARREN, MI 48088-4330
(586) 777-3375
(586) 777-3380
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
03/28/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up