Lakeshore Derm & Laser Center PLC
Lakeshore Derm & Laser Center PLC is a Procedural Dermatology Physician in Norton Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2007.
- Licensed in
- MI
- In the registry since
- 2007
Practice location Address checks out
6225 Prairie StNorton Shores, MI 49444-7831
Phone: (231) 798-9500
Fax: (231) 798-9533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Procedural Dermatology Physician (primary) | Taxonomy 207NS0135X (MI) |
|---|
Record details
| NPI number | 1538209945 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Van Ittersum — Owner · (231) 798-9500 |
| NPI enumerated | February 7, 2007 |
| Last updated in NPPES | October 22, 2013 |
| Mailing address | 6225 Prairie St, Norton Shores, MI 49444-7831 |
Other providers in Norton Shores
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Dr. Jason Barrett Van Ittersum, MD
6225 Prairie St, Norton Shores, MI 49444-7831 · (231) 798-9500