1. Home
  2. Directory
  3. Michigan
  4. Clarkston
  5. Family Medicine
  6. NPI Profile

CLARKSTON LAKES FAMILY MEDICINE LLC
NPI 1457359267
Family Medicine in Clarkston, MI

Active since July 14, 2005
6483 CITATION DR, SUITE B, CLARKSTON, MI 48346(248) 922-3074(248) 922-3081 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarkston Lakes Family Medicine Llc NPPES

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

CLARKSTON LAKES FAMILY MEDICINE LLC (NPI 1457359267) is a healthcare organization registered as a family medicine in Clarkston, Michigan and active in the NPI registry since July 2005. The organization lists John A Blanchard, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1457359267
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLARKSTON LAKES FAMILY MEDICINE LLC
Location Address6483 CITATION DR, SUITE BClarkston, MI 48346-2994
Mailing Address6483 Citation Dr, Suite BClarkston, MI 48346-2994 · (248) 922-3074 · Fax (248) 922-3081
Phone(248) 922-3074
Fax(248) 922-3081
Organization SubpartNo
Authorized OfficialJohn A BlanchardOwner/physician · (248) 922-3074
Enumeration DateJuly 14, 2005
Last NPPES UpdateFebruary 20, 2012
✔ NPI 1457359267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · JB067853
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6483 CITATION DR, Clarkston, MI 48346
Open in Google Maps ↗

Other Identifiers 5

Medicaid1457359267MI
Other080F320090MI · Bcn
Medicare PIN0N52570MI
Other080F320090MI · Bcbs
OtherCK5028MI · Railroad Medicare Group

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 4

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

SOMERS FOOT & ANKLE
Podiatrist (Foot & Ankle Surgery)
6483 CITATION DR, SUITE A
CLARKSTON, MI 48346
Oakland County (248) 751-1025
DR. BETTY S W CHU MD
Obstetrics & Gynecology
6483 CITATION DR, SUITE A
CLARKSTON, MI 48346
Oakland County (248) 922-0856
JENNIFER LYNN SOMERS DPM
Podiatrist (Foot & Ankle Surgery)
6483 CITATION DR, SUITE A
CLARKSTON, MI 48346
Oakland County (248) 751-1025
CHARLES GENGHIS LINE MD
Family Medicine
6483 CITATION DR, SUITE B
CLARKSTON, MI 48346
Oakland County (248) 922-3074

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 Clarkston Lakes Family Medicine LLC's NPI number?

The NPI number for Clarkston Lakes Family Medicine LLC is 1457359267. It was assigned to this organization in the NPPES registry on July 14, 2005.

Where is Clarkston Lakes Family Medicine LLC located?

Clarkston Lakes Family Medicine LLC is located at 6483 Citation Dr Suite B, Clarkston, MI 48346. The listed phone number is (248) 922-3074.

What is Clarkston Lakes Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Clarkston Lakes Family Medicine LLC was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.