Lakeshore Vein &Laser Clinic Pllc
LBN: Lakeshore Vein &Laser Clinic Pllc
Lakeshore Vein &Laser Clinic Pllc is an health care organization with primary practice located at 5 N Atkinson Dr Suite 304, Ludington MI 49431-2918. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty.
Lakeshore Vein &Laser Clinic Pllc can be contacted via phone (231) 843-2600, or through Fabaz, Anthony G via phone (231) 843-2600.
Contact Information
Primary practice address
5 N Atkinson Dr Suite 304
Ludington MI 49431-2918
Phone: (231) 843-2600
Fax: (231) 843-2665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 5101006766 | Michigan |
Profile Details
| NPI number | 1083753479 |
|---|---|
| LBN Legal business name | Lakeshore Vein &Laser Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Fabaz, Anthony G Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jun 18th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083753479 | NPPES |
| Michigan | MEDICAID | 1816644 |
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