OrganizationActive
Lakeshore Clinic, PLLC
NPI 1003036732 · Primary Care Clinic/Center · Muskegon Heights, MI
Provider details
- NPI number
- 1003036732
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Darien Smith, Director
- License
- 5101006386 (MI)
Practice location
445 E Sherman Blvd
Muskegon Heights, MI 49444-2203
Phone: (231) 739-4359
Fax: (231) 733-6151
Mailing address
445 E Sherman Blvd
Muskegon Heights, MI 49444-2203
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.