Lakeside Ent, P.C. in Holland - Otolaryngology
Lakeside Ent, P.C. - NPI 1356481493
Lakeside Ent, P.C. is a Otolaryngology in Holland, Michigan. Lakeside Ent, P.C. practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Lakeside Ent, P.C. is 1356481493. The last update date is 2009-12-18.
Lakeside Ent, P.C.'s current location address is 577 Michigan Ave, Holland, Michigan. You can contact this provider via phone number 6163932190 and fax number 6163930147. The mailing address for Lakeside Ent, P.C. is 577 Michigan Ave, Holland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Ent, P.C. |
|---|---|
| Address | 577 Michigan Ave, Holland, Michigan |
| Phone Number | 6163932190 |
| Fax Number | 6163930147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Vandermeer J Peter |
| Credentials | M.D. |
| Telephone Number | 6163932190 |
NPI Number Detail
| NPI Number | 1356481493 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2009-12-18 |
Provider Mailing Address Detail
| Address | 577 Michigan Ave |
|---|---|
| City | Holland |
| State | Michigan (MI) |
| Post Code | 494234911 |
| Phone Number | 6163932190 |
| Fax Number | 6163930147 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lakeside Ent, P.C. by the Centers for Medicare & Medicaid Services?
The Lakeside Ent, P.C. has been issued the NPI (National Provider Identifier) 1356481493, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lakeside Ent, P.C. is geographically located?
The Lakeside Ent, P.C. is physically situated at the following location: 577 Michigan Ave, Holland, MI, 494234911.
What is the area of specialization for Lakeside Ent, P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lakeside Ent, P.C. is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356481493 to Lakeside Ent, P.C.?
The Lakeside Ent, P.C. received its 1356481493 assignment from the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date were the Lakeside Ent, P.C.'s details last updated?
The information pertaining to the Lakeside Ent, P.C., including its address, specialty, and other details, was most recently updated on 2009-12-18.
NPI Number: 1528061793
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