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LAKESIDE NEUROLOGY P C
NPI 1982725735
Psychiatry & Neurology - Neurology in Warren, MI

Active since April 02, 2007
28573 SCHOENHERR RD, WARREN, MI 48088(586) 777-3375(586) 777-3380 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 28, 2023, Dec 14, 2020 (2 updates tracked since 2020).

About Lakeside Neurology P C NPPES

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

LAKESIDE NEUROLOGY P C (NPI 1982725735) is a healthcare organization registered as a neurology in Warren, Michigan and active in the NPI registry since April 2007. The organization lists Tracey Martin, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1982725735
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameLAKESIDE NEUROLOGY P C
Location Address28573 SCHOENHERR RDWarren, MI 48088-4330
Mailing Address28573 Schoenherr RdWarren, MI 48088-4330 · (586) 777-3375 · Fax (586) 777-3380
Phone(586) 777-3375
Fax(586) 777-3380
Organization SubpartNo
Authorized OfficialTracey MartinPractice Manager · (586) 777-3375
Enumeration DateApril 2, 2007
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1982725735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
28573 SCHOENHERR RD, Warren, MI 48088
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

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

JOANNA HERNANDEZ DNP, RN, AGACNP-BC
Nurse Practitioner (Gerontology)
28573 SCHOENHERR RD
WARREN, MI 48088
Macomb County (586) 777-3375
ALLERGY CLINIC OF WARREN PC
Allergy & Immunology
28573 SCHOENHERR RD
WARREN, MI 48088
Macomb County (586) 558-5700

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 Neurology P C's NPI number?

The NPI number for Lakeside Neurology P C is 1982725735. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Lakeside Neurology P C located?

Lakeside Neurology P C is located at 28573 Schoenherr Rd, Warren, MI 48088. The listed phone number is (586) 777-3375.

What is Lakeside Neurology P C's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

What insurance does Lakeside Neurology P C accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeside Neurology P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Neurology P C was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.