LAKE SHORE PHYSICIAN PA
NPI 1003823717
Internal Medicine in Pasadena, MD
About Lake Shore Physician Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE SHORE PHYSICIAN PA (NPI 1003823717) is a healthcare organization registered as an internal medicine in Pasadena, Maryland and active in the NPI registry since August 2006. The organization lists Carl Thomas Folkemer, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Shore Physician PA's NPI number?
The NPI number for Lake Shore Physician PA is 1003823717. It was assigned to this organization in the NPPES registry on August 2, 2006.
Where is Lake Shore Physician PA located?
Lake Shore Physician PA is located at 4231 Postal Court, Pasadena, MD 21122. The listed phone number is (410) 432-3200.
What is Lake Shore Physician PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
When was this NPI record last updated?
The NPPES record for Lake Shore Physician PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.