Lakehsore Otolaryngology

LBN: Lakehsore Otolaryngology
Lakehsore Otolaryngology is an health care organization with primary practice located at 577 Michigan Avenue Suite 101, Holland MI 49423. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as the primary health care specialty. Lakehsore Otolaryngology can be contacted via phone (616) 393-2190, or through Vanderveen, Theodore S via phone (616) 393-2190.

Contact Information

Primary practice address
577 Michigan Avenue Suite 101 Holland MI 49423
Fax: (616) 393-0147
Website:
Authorized official contact:
Name: Vanderveen, Theodore S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X

Profile Details

NPI number 1770696379
LBN Legal business name Lakehsore Otolaryngology
DBA Doing business as
Authorized official Vanderveen, Theodore S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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