Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKE SHORE AFC, LLC
Active OrganizationLAKE SHORE AFC, LLC is a 3104A0630X organization located in GRAWN, Michigan. NPI 1669968129 is currently active in the NPPES registry. Verify at CMS.
3104A0630X · GRAWN, MI
Registration Details
- NPI Number
- 1669968129
- Provider Type
- Organization
- NPI Issued
- Jul 9, 2018 (8.121008976264 yrs)
- Last Updated
- Jul 9, 2018
- License
-
AM280289926 (MI)
Practice Information
- Address
-
2480 TONAWANDA LAKE RDGRAWN, MI, 496379615Browse MI providers · Browse ZIP 49637
- Phone
- 2312769260
- Fax
- 2312769380
- Primary Specialty
-
3104A0630X
3104A0630X
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.