Organization

Lakeside Ent, P.C.

Otolaryngology Physician in Holland, MI(View on Map)

Legal Business Name

Lakeside Ent, P.C.

NPI Number

1356481493

NPI Type

Organization

Enumeration Date

02/07/2007

Specialties

(Taxonomies)

Code

207Y00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

577 MICHIGAN AVE
577 MICHIGAN AVE

City

Holland
Holland

State

MI
MI

Postal Code

49423-4911
49423-4911

Country

US
US

Telephone Number

(616) 393-2190
(616) 393-2190

Authorized Official

Name

Dr. Peter Vandermeer

Title or Position

TREASURER

Telephone Number

(616) 393-2190

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/18/2009

Provider Address

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Organization

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