Lakeshore Derm & Laser Center Plc

LBN: Lakeshore Derm & Laser Center Plc
Lakeshore Derm & Laser Center Plc is an health care organization with primary practice located at 6225 Prairie St , Norton Shores MI 49444-7831. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. Lakeshore Derm & Laser Center Plc can be contacted via phone (231) 798-9500, or through Van Ittersum, Jason Barrett via phone (231) 798-9500.

Contact Information

Primary practice address
6225 Prairie St Norton Shores MI 49444-7831
Phone: (231) 798-9500
Fax: (231) 798-9533
Website:
Map and Directions
Authorized official contact:
Name: Van Ittersum, Jason Barrett Doctor of Medicine (MD)
Phone: (231) 798-9500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X Michigan

Profile Details

NPI number 1538209945
LBN Legal business name Lakeshore Derm & Laser Center Plc
DBA Doing business as
Authorized official Van Ittersum, Jason Barrett Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Oct 22nd, 2013 - about 13 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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