Lakeshore Medical Center, P.C.

LBN: Lakeshore Medical Center, P.C.
Lakeshore Medical Center, P.C. is an health care organization with primary practice located at 33720 Harper Ave Suite A, Clinton Twp MI 48035. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lakeshore Medical Center, P.C. can be contacted via phone (586) 294-5210, or through Pradko, John R via phone (586) 294-5210.

Contact Information

Primary practice address
33720 Harper Ave Suite A Clinton Twp MI 48035
Phone: (586) 294-5210
Fax: (586) 294-0215
Website:
Map and Directions
Authorized official contact:
Name: Pradko, John R Doctor of Osteopathy (DO)
Phone: (586) 294-5210

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1437239043
LBN Legal business name Lakeshore Medical Center, P.C.
DBA Doing business as
Authorized official Pradko, John R Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated Oct 23rd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437239043 NPPES
Michigan MEDICAID 3223681
Michigan Other CH9022
Michigan MEDICAID 4679899

Popular Providers