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LAKESHORE EAR NOSE AND THROAT CENTER PC NPI 1285803346


NPI Information

NPI: 1285803346
Provider Name: LAKESHORE EAR NOSE AND THROAT CENTER PC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
11080 HALL RD
A
STERLING HEIGHTS, MI
ZIP 48314
Phone: (586) 254-7200
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LAKESHORE EAR NOSE AND THROAT CENTER PC is an otolaryngology in Sterling Heights, MI. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. LAKESHORE EAR NOSE AND THROAT CENTER PC NPI is 1285803346. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11080 HALL RD
A
STERLING HEIGHTS, MI
ZIP 48314-511
Phone: (586) 254-7200
Fax: (586) 254-7201

The provider's authorized official is Daniel Dj Megler .
The authorized official title is President and has the following contact phone number (586) 254-7200.

The enumeration date for this NPI number is 2/22/2008 and was last updated on 2/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14351803OTHERMICHIGANAETNA
2131306OTHERMICHIGANCARE CHOICES
32370886005OTHERMICHIGANCIGNA
41203527MEDICAIDMICHIGAN
55791268OTHERMICHIGANAETNA
62355682001OTHERMICHIGANCIGNA
74103196MEDICAIDMICHIGAN
82416918002OTHERMICHIGANCIGNA
94103187MEDICAIDMICHIGAN
101124737MEDICAIDMICHIGAN
11103348OTHERMICHIGANCARE CHOICES
1243331258OTHERMICHIGANAETNA
134218043OTHERMICHIGANAETNA
14131309OTHERMICHIGANCARE CHOICES
153044902MEDICAIDMICHIGAN
16111857OTHERMICHIGANCARE CHOICES
174408911OTHERMICHIGANAETNA
180225988007OTHERMICHIGANCIGNA
192401315001OTHERMICHIGANCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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