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LAKESIDE PULMONARY MEDICINE PLLC
NPI 1508707100
Internal Medicine - Pulmonary Disease in Saint Joseph, MI

Active since April 06, 2026
435 UPTON DR, SAINT JOSEPH, MI 49085(269) 588-1994 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Pulmonary Medicine Pllc NPPES

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

LAKESIDE PULMONARY MEDICINE PLLC (NPI 1508707100) is a healthcare organization registered as a pulmonary disease in Saint Joseph, Michigan and active in the NPI registry since April 2026. The organization lists Cory M O'brien, Owner, as its authorized official.

NPPES Registry Identity

NPI1508707100
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameLAKESIDE PULMONARY MEDICINE PLLC
Location Address435 UPTON DRSaint Joseph, MI 49085-1058
Mailing Address435 Upton DrSaint Joseph, MI 49085-1058
Phone(269) 588-1994
Organization SubpartNo
Authorized OfficialCory M O'brienOwner · (517) 290-5639
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1508707100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
435 UPTON DR, Saint Joseph, MI 49085
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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

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 Lakeside Pulmonary Medicine PLLC's NPI number?

The NPI number for Lakeside Pulmonary Medicine PLLC is 1508707100. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Lakeside Pulmonary Medicine PLLC located?

Lakeside Pulmonary Medicine PLLC is located at 435 Upton Dr, Saint Joseph, MI 49085. The listed phone number is (269) 588-1994.

What is Lakeside Pulmonary Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Lakeside Pulmonary Medicine PLLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.