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

Lakeshore Vein &laser Clinic PLLC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1083753479

Lakeshore Vein &laser Clinic PLLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ludington, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 N Atkinson Dr Ste 304
Ludington, MI 49431-2918
Phone: (231) 843-2600
Fax: (231) 843-2665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 5101006766 (MI)

Record details

NPI number1083753479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Fabaz — Owner · (231) 843-2600
NPI enumeratedFebruary 5, 2007
Last updated in NPPESJune 18, 2009
Mailing address5 N Atkinson Dr, Suite 304, Ludington, MI 49431-2918

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