Lakewood Family Medicine Plc

LBN: Lakewood Family Medicine Plc
Lakewood Family Medicine Plc is an health care organization with primary practice located at 382 N 120Th Ave , Holland MI 49424-2169. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lakewood Family Medicine Plc can be contacted via phone (616) 396-6516, or through Smith, Timothy Victor via phone (616) 396-6516.

Contact Information

Primary practice address
382 N 120Th Ave Holland MI 49424-2169
Phone: (616) 396-6516
Fax: (616) 396-2513
Website:
Map and Directions
Authorized official contact:
Name: Smith, Timothy Victor Doctor of Medicine (MD)
Phone: (616) 396-6516

Health care specialties

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

Profile Details

NPI number 1073609392
LBN Legal business name Lakewood Family Medicine Plc
DBA Doing business as
Authorized official Smith, Timothy Victor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Nov 9th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073609392 NPPES
Michigan Other 080G06011 BCBS MI GROUP NUMBER

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