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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE SHORE CLINIC

Active Organization

LAKE SHORE CLINIC is a Clinic/Center organization located in CULVER, Indiana. NPI 1366566424 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · CULVER, IN

Registration Details

NPI Number
1366566424
Provider Type
Organization
NPI Issued
Mar 16, 2007 (19.41766774095 yrs)
Last Updated
Jun 21, 2018
License
207Q000000X (IN)

Practice Information

Address
921 N LAKE SHORE DR
CULVER, IN, 465111207
Browse IN providers · Browse ZIP 46511
Phone
5748424330
Primary Specialty
Clinic/Center
261Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.