| Lakeside Healthcare Specialists Pllc | |
|
3950 Hollywood Rd Suite 270 Saint Joseph MI 49085-9159 | |
| (269) 983-0500 | |
| (269) 429-2240 |
| Full Name | Lakeside Healthcare Specialists Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3950 Hollywood Rd, Saint Joseph, Michigan |
| Authorized Official Name and Position | Sharon Deskins (PHYSICIAN OWNER) |
| Authorized Official Contact | 2699830500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Healthcare Specialists Pllc 3950 Hollywood Rd Suite 270 Saint Joseph MI 49085-9159 Ph: (269) 983-0500 | Lakeside Healthcare Specialists Pllc 3950 Hollywood Rd Suite 270 Saint Joseph MI 49085-9159 Ph: (269) 983-0500 |
| NPI Number | 1467527648 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 02/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467527648 | NPI | - | NPPES |
| 0A110280 | Other | MI | BCBS |
| CG8207 | Other | MI | RAIL ROAD MEDICARE |
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