institution
Lakeshore Allergy Pc
Allergy Physician in Holland, Michigan
NPI 1639108863

Lakeshore Allergy Pc is an Allergy Physician based in Holland, MI and is specialized in Allergy. Lakeshore Allergy Pc practices in Holland, MI. The NPI Number for Lakeshore Allergy Pc is 1639108863 and holds a License No. 4301051148 (Michigan).

The current practice location address for Lakeshore Allergy Pc is 3290 N Wellness, Holland, MI and can be reached out via phone at 616-738-4262 and via fax at 616-738-4266. You can also correspond with Lakeshore Allergy Pc through the mailing address at 3290 N WELLNESS, HOLLAND, MI - 49424 (mailing address contact number: 616-738-4262).

Location: 3290 N Wellness, Holland, MI, 49424
institution
Provider Profile Details
NPI Number
1639108863
Provider Name
Lakeshore Allergy Pc
Credential
Provider Entity Type
Organization
Address
3290 N Wellness, Holland, MI, 49424
Phone Number
616-738-4262
Fax Number
616-738-4266
Provider Enumeration Date
07/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0030084 01 BCBS
P105210 01 BLUECH
4604806 05 MI
institution
Provider Business Practice Location Address Details
Address
3290 N Wellness
City
State
Zip
49424
Phone Number
616-738-4262
Fax Number
616-738-4266
person
Provider Business Mailing Address Details
Address
3290 N Wellness
City
State
Zip
49424
Phone Number
616-738-4262
Fax Number
616-738-4266
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
4301051148 (Michigan)
Definition
Definition to come...
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