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LAKESHORE VEIN &LASER CLINIC PLLC
NPI 1083753479
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Ludington, MI

Active since February 05, 2007
5 N ATKINSON DR, SUITE 304, LUDINGTON, MI 49431(231) 843-2600(231) 843-2665 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeshore Vein &laser Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESHORE VEIN &LASER CLINIC PLLC (NPI 1083753479) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Ludington, Michigan and active in the NPI registry since February 2007. The organization lists Anthony G Fabaz, Owner, as its authorized official.

NPPES Registry Identity

NPI1083753479
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameLAKESHORE VEIN &LASER CLINIC PLLC
Location Address5 N ATKINSON DR, SUITE 304Ludington, MI 49431-2918
Mailing Address5 N Atkinson Dr, Suite 304Ludington, MI 49431-2918 · (231) 843-2600 · Fax (231) 843-2665
Phone(231) 843-2600
Fax(231) 843-2665
Organization SubpartNo
Authorized OfficialAnthony G FabazOwner · (231) 843-2600
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJune 18, 2009
✔ NPI 1083753479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in MI · 5101006766
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
5 N ATKINSON DR, Ludington, MI 49431
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Other Identifiers 3

Medicaid1816644MI
Medicare NSC6164460001MI
Medicare UPINB46405

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Family Medicine
5 N ATKINSON DR
LUDINGTON, MI 49431
Mason County (231) 845-3615
CHERYL M YORK MSN, FNP
Nurse Practitioner (Family)
5 N ATKINSON DR, SUITE 201
LUDINGTON, MI 49431
Mason County (231) 845-7732
R. JOSEPH GRIERSON, D.O., PLC
Orthopaedic Surgery
5 N ATKINSON DR, SUITE #200
LUDINGTON, MI 49431
Mason County (231) 843-2664
ANTHONY G FABAZ D.O.
Surgery (Vascular Surgery)
5 N ATKINSON DR, SUITE 304
LUDINGTON, MI 49431
Mason County (231) 843-2600
MARGARET E GUSTAFSON MD PC
Specialist
5 N ATKINSON DR, SUITE 203
LUDINGTON, MI 49431
Mason County (231) 845-5992
PERSSON INTERNAL MEDICINE,P.C
Internal Medicine
5 N ATKINSON DR, SUITE #207
LUDINGTON, MI 49431
Mason County (231) 843-3600
DR. MICHAEL SCOTT KENNEDY M.D.
Orthopaedic Surgery
5 N ATKINSON DR, SUITE 200
LUDINGTON, MI 49431
Mason County (231) 843-2664
DR DANIEL G REUM DO PC
Urology
5 N ATKINSON DR, SUITE 205
LUDINGTON, MI 49431
Mason County (231) 845-5069

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 Lakeshore Vein &laser Clinic PLLC's NPI number?

The NPI number for Lakeshore Vein &laser Clinic PLLC is 1083753479. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Lakeshore Vein &laser Clinic PLLC located?

Lakeshore Vein &laser Clinic PLLC is located at 5 N Atkinson Dr Suite 304, Ludington, MI 49431. The listed phone number is (231) 843-2600.

What is Lakeshore Vein &laser Clinic PLLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Lakeshore Vein &laser Clinic PLLC was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.