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

LAKESIDE INTERNAL MEDICINE PC

Active Organization

LAKESIDE INTERNAL MEDICINE PC is a Primary Care Clinic organization located in SAINT CLAIR SHORES, Michigan. NPI 1386840502 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · SAINT CLAIR SHORES, MI

Registration Details

NPI Number
1386840502
Provider Type
Organization
NPI Issued
Jun 25, 2007 (19.160322148273 yrs)
Last Updated
Aug 18, 2014
License
4301058249 (MI)

Practice Information

Address
21519 HARPER AVE STE 109
SAINT CLAIR SHORES, MI, 480802209
Browse MI providers · Browse ZIP 48080
Phone
5869455012
Primary Specialty
Primary Care Clinic
261QP2300X

Other Primary Care Clinic Organizations in SAINT CLAIR SHORES, MI

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.