Lakeshore Vein &Laser Clinic Pllc in Ludington - Thoracic Surgery (cardiothoracic Vascular Surgery)
Lakeshore Vein &Laser Clinic Pllc - NPI 1083753479
Lakeshore Vein &Laser Clinic Pllc is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Ludington, Michigan. Lakeshore Vein &Laser Clinic Pllc practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Lakeshore Vein &Laser Clinic Pllc is 1083753479. The last update date is 2009-06-18.
Lakeshore Vein &Laser Clinic Pllc's current location address is 5 N Atkinson Dr, Ludington, Michigan. You can contact this provider via phone number 2318432600 and fax number 2318432665. The mailing address for Lakeshore Vein &Laser Clinic Pllc is 5 N Atkinson Dr, Ludington, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Vein &Laser Clinic Pllc |
|---|---|
| Address | 5 N Atkinson Dr, Ludington, Michigan |
| Phone Number | 2318432600 |
| Fax Number | 2318432665 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fabaz G Anthony |
| Credentials | DO |
| Telephone Number | 2318432600 |
NPI Number Detail
| NPI Number | 1083753479 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2009-06-18 |
Provider Mailing Address Detail
| Address | 5 N Atkinson Dr |
|---|---|
| City | Ludington |
| State | Michigan (MI) |
| Post Code | 494312918 |
| Phone Number | 2318432600 |
| Fax Number | 2318432665 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 5101006766 |
|
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1816644 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lakeshore Vein &Laser Clinic Pllc by the Centers for Medicare & Medicaid Services?
The Lakeshore Vein &Laser Clinic Pllc has been assigned the NPI (National Provider Identifier) 1083753479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Lakeshore Vein &Laser Clinic Pllc?
The Lakeshore Vein &Laser Clinic Pllc is situated at 5 N Atkinson Dr, in the city of Ludington, state of MI, with the zip code 494312918.
What is the Lakeshore Vein &Laser Clinic Pllc's specialty and taxonomy code?
The Lakeshore Vein &Laser Clinic Pllc's specialty is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code is 208G00000X.
On what date did Lakeshore Vein &Laser Clinic Pllc receive its 1083753479 assignment from the Centers for Medicare & Medicaid Services?
The Lakeshore Vein &Laser Clinic Pllc was assigned its 1083753479 on 2007-02-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Lakeshore Vein &Laser Clinic Pllc most recently updated or revised?
The details related to Lakeshore Vein &Laser Clinic Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2009-06-18.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC