Lakeside Medical Group, Pc

LBN: Lakeside Medical Group, Pc
Lakeside Medical Group, Pc is an health care organization with primary practice located at 72 S Washington St Suite 202, Oxford MI 48371-4973. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Lakeside Medical Group, Pc can be contacted via phone (248) 628-0220, or through Hartz, Steven L via phone (248) 628-0220.

Contact Information

Primary practice address
72 S Washington St Suite 202 Oxford MI 48371-4973
Fax: (248) 628-0226
Website:
Authorized official contact:
Name: Hartz, Steven L Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X SH007361 Michigan

Profile Details

NPI number 1386769180
LBN Legal business name Lakeside Medical Group, Pc
DBA Doing business as
Authorized official Hartz, Steven L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Jun 30th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386769180 NPPES
Michigan Other 0856300954 BLUE CROSS BLUE SHIELD OF MICHIGAN
Michigan MEDICAID 291878311 BLUE CROSS BLUE SHIELD OF MICHIGAN
Michigan Other 207Q00000X BLUE CROSS BLUE SHIELD OF MICHIGAN

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