Mrs Susan L Shore-vignola, DDS | |
213 S Canal St, Lake City, MI 49651-7929 | |
(231) 839-2630 | |
(231) 839-5751 |
Full Name | Mrs Susan L Shore-vignola |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 213 S Canal St, Lake City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952394439 | NPI | - | NPPES |
4087824 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2901014317 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan L Shore-vignola, DDS Po Box 719, Lake City, MI 49651-0719 Ph: (231) 839-2630 | Mrs Susan L Shore-vignola, DDS 213 S Canal St, Lake City, MI 49651-7929 Ph: (231) 839-2630 |
Mitch Ty Carpenter-thompson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 213 S Canal St, Lake City, MI 49651 Phone: 231-839-2630 | |
Dr. Michael Francis Lahey, DDS Dentist Medicare: Medicare Enrolled Practice Location: 301 N Main, Lake City, MI 49651 Phone: 231-839-4673 |