LAKE SHORE PULMONOLOGY, PLC is a pulmonary disease internal medicine in Spring Lake, MI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. LAKE SHORE PULMONOLOGY, PLC NPI is 1245283696. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
17357 VAN WAGONER RD
SUITE 2
SPRING LAKE, MI
ZIP 49456-702
Phone: (616) 847-1009
Fax: (616) 847-1607
The provider's authorized official is Mark James Ivey .
The authorized official title is Owner/physician and has the following contact phone number (616) 847-1009.
The CLIA number assigned to this NPI record is 23D2223032 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/8/2010.