Lakehsore Otolaryngology
Lakehsore Otolaryngology is a Facial Plastic Surgery Physician in Holland, Michigan. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
577 Michigan Ave Ste 101Holland, MI 49423
Phone: (616) 393-2190
Fax: (616) 393-0147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Facial Plastic Surgery Physician (primary) | Taxonomy 207YS0123X |
|---|
Record details
| NPI number | 1770696379 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Vanderveen — President · (616) 393-2190 |
| NPI enumerated | August 16, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 577 Michigan Avenue, Suite 101, Holland, MI 49423 |