Lakehsore Otolaryngology
NPI 1770696379 · Facial Plastic Surgery Physician · Holland, MI
Lakehsore Otolaryngology is a Facial Plastic Surgery Physician organization in Holland, MI (NPI 1770696379).
Provider details
- NPI number
- 1770696379
- Entity type
- Organization
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theodore Vanderveen, President(616) 393-2190
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Lakehsore Otolaryngology's NPI number?
- Lakehsore Otolaryngology's National Provider Identifier (NPI) is 1770696379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakehsore Otolaryngology?
- Lakehsore Otolaryngology is classified in the NPPES registry as Facial Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Lakehsore Otolaryngology located?
- Lakehsore Otolaryngology's practice location on file with NPPES is 577 Michigan Avenue, Holland, MI 49423.
- What is Lakehsore Otolaryngology's phone number?
- The practice phone number listed in the NPPES registry for Lakehsore Otolaryngology is (616) 393-2190.
- Who is the authorized official for Lakehsore Otolaryngology?
- The authorized official listed on Lakehsore Otolaryngology's NPPES record is Theodore Vanderveen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakehsore Otolaryngology's NPI active?
- Yes — Lakehsore Otolaryngology's NPI (1770696379) is active in the NPPES registry as of the last update on 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.