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

Lakewood Family Medicine PLC

Organization Family Medicine Physician · NPI 1073609392

Lakewood Family Medicine PLC is a Family Medicine Physician in Holland, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

382 N 120th Ave
Holland, MI 49424-2169
Phone: (616) 396-6516
Fax: (616) 396-2513
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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

Record details

NPI number1073609392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Smith — Physician · (616) 396-6516
NPI enumeratedOctober 5, 2006
Last updated in NPPESNovember 9, 2018
Mailing address382 N 120th Ave, Holland, MI 49424-2169

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