Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clarkston Lakes Family Medicine LLC

Organization Family Medicine Physician · NPI 1457359267

Clarkston Lakes Family Medicine LLC is a Family Medicine Physician in Clarkston, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6483 Citation Dr Ste B
Clarkston, MI 48346-2994
Phone: (248) 922-3074
Fax: (248) 922-3081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence JB067853 (MI)

Record details

NPI number1457359267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Blanchard — Owner/Physician · (248) 922-3074
NPI enumeratedJuly 14, 2005
Last updated in NPPESFebruary 20, 2012
Mailing address6483 Citation Dr, Suite B, Clarkston, MI 48346-2994

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