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: July 19, 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
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

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


The following 10 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
5 N ATKINSON DR, SUITE 201
LUDINGTON, MI 49431
Surgery
5 N ATKINSON DR, SUITE 201
LUDINGTON, MI 49431
Surgery (Vascular Surgery)
5 N ATKINSON DR, SUITE 304
LUDINGTON, MI 49431
Urology
5 N ATKINSON DR, SUITE 205
LUDINGTON, MI 49431
Specialist
5 N ATKINSON DR, SUITE 203
LUDINGTON, MI 49431
Orthopaedic Surgery
5 N ATKINSON DR, SUITE #200
LUDINGTON, MI 49431
Orthopaedic Surgery
5 N ATKINSON DR, SUITE 200
LUDINGTON, MI 49431
Internal Medicine
5 N ATKINSON DR, SUITE #207
LUDINGTON, MI 49431
Family Medicine
5 N ATKINSON DR
LUDINGTON, MI 49431
Internal Medicine (Cardiovascular Disease)
5 N ATKINSON DR
LUDINGTON, MI 49431

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083753479, enumerated as an "organization" on February 05, 2007.

The provider is located at 5 N ATKINSON DR SUITE 304 LUDINGTON, MI 49431 and the phone number is (231) 843-2600.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.