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LAKEHSORE OTOLARYNGOLOGY
NPI 1770696379
Otolaryngology - Facial Plastic Surgery in Holland, MI

Active since August 16, 2006
577 MICHIGAN AVENUE, SUITE 101, HOLLAND, MI 49423(616) 393-2190(616) 393-0147 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakehsore Otolaryngology NPPES

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

LAKEHSORE OTOLARYNGOLOGY (NPI 1770696379) is a healthcare organization registered as a facial plastic surgery in Holland, Michigan and active in the NPI registry since August 2006. The organization lists Theodore S Vanderveen, President, as its authorized official.

NPPES Registry Identity

NPI1770696379
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameLAKEHSORE OTOLARYNGOLOGY
Location Address577 MICHIGAN AVENUE, SUITE 101Holland, MI 49423
Mailing Address577 Michigan Avenue, Suite 101Holland, MI 49423 · (616) 393-2190 · Fax (616) 393-0147
Phone(616) 393-2190
Fax(616) 393-0147
Organization SubpartNo
Authorized OfficialTheodore S VanderveenPresident · (616) 393-2190
Enumeration DateAugust 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770696379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
Definition
An otolaryngologist who specializes in facial plastic surgery.
577 MICHIGAN AVENUE, Holland, MI 49423
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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

Other Providers at the Same Location NPPES

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

PHILLIPS H WINTER M.D.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
577 MICHIGAN AVENUE, SUITE 101
HOLLAND, MI 49423
Allegan County (616) 393-2190

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 Lakehsore Otolaryngology's NPI number?

The NPI number for Lakehsore Otolaryngology is 1770696379. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Lakehsore Otolaryngology located?

Lakehsore Otolaryngology is located at 577 Michigan Avenue Suite 101, Holland, MI 49423. The listed phone number is (616) 393-2190.

What is Lakehsore Otolaryngology's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Lakehsore Otolaryngology 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.