institution
Lake Shore Clinic
Clinic/Center in Culver, Indiana
NPI 1366566424

Lake Shore Clinic is a Clinic/Center based in Culver, IN. Lake Shore Clinic practices in Culver, IN. The NPI Number for Lake Shore Clinic is 1366566424 and holds a License No. 207Q000000X (Indiana).

The current practice location address for Lake Shore Clinic is 921 N Lake Shore Dr, Culver, IN and can be reached out via phone at 574-842-4330.

Location: 921 N Lake Shore Dr, Culver, IN, 46511-1207
institution
Provider Profile Details
NPI Number
1366566424
Provider Name
Lake Shore Clinic
Credential
Provider Entity Type
Organization
Address
921 N Lake Shore Dr, Culver, IN, 46511-1207
Phone Number
574-842-4330
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15D0356500 01 IN CLIA NUMBER
207Q000000X 01 IN TAXONOMY
institution
Provider Business Practice Location Address Details
Address
921 N Lake Shore Dr
City
State
Zip
46511-1207
Phone Number
574-842-4330
Fax Number
person
Provider Business Mailing Address Details
Address
921 N Lake Shore Dr
City
State
Zip
46511-1207
Phone Number
574-842-4330
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
207Q000000X (Indiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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