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

Lakeside ENT, PC

Organization Otolaryngology Physician · NPI 1356481493

Lakeside ENT, PC is an Otolaryngology Physician in Holland, Michigan. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

577 Michigan Ave Ste 101
Holland, MI 49423-4911
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

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1356481493
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Vandermeer — Treasurer · (616) 393-2190
NPI enumeratedFebruary 7, 2007
Last updated in NPPESDecember 18, 2009
Mailing address577 Michigan Ave, Suite 101, Holland, MI 49423-4911

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