Lakeshore Internal Medicine And Pediatric Associates

Specialty details in registry · Holland, MI

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At a glance

437 North 120Th Ave, Holland, MI 49424

NPPES record updated Jun 7, 2016. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.

Practice location

437 North 120Th Ave
Holland, MI 49424
Professional details: NPI, taxonomy & registry record
NPI1003924739
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM1300X
Enumeration date
Aug 25, 2006
Record updated
Jun 7, 2016
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM1300X · Primary

License reported: 4301066494 MI

Specialty details in registry

261QM1300X

License reported: 4301074294 MI

Specialty details in registry

261QM1300X

License reported: 4301074445 MI

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

437 North 120Th Ave
Holland, MI 49424
Phone
(616) 738-0737
Mailing address
437 NORTH 120TH AVE

HOLLAND, MI 49424
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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