Organization · Type 2 NPI
Lakeshore Treatment Center Inc
Addiction Medicine (Family Medicine) Physician · Ludington, MI
NPI number
1225935877
Active
Practice location
215 N Jebavy Dr
Ludington, MI 49431-1921
Fax (866) 287-8710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Social Worker | 104100000X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | None listed |
| Case Management Registered Nurse | 163WC0400X | None listed |
| Licensed Practical Nurse | 164W00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
6 other providers at this address
- Ashley Rose Forbes, BSWAddiction (Substance Use Disorder) Counselor Ludington, MI NPI 1760356562
- Jaime Lynn Lamendola, RNAddiction (Substance Use Disorder) Registered Nurse Ludington, MI NPI 1265306070
- Marco Antonio Vaquera, CPRMPeer Specialist Ludington, MI NPI 1376470203
- Sarah KuceraAddiction (Substance Use Disorder) Registered Nurse Ludington, MI NPI 1114853538
- Tamara Abigail Cavazos, RNAddiction (Substance Use Disorder) Registered Nurse Ludington, MI NPI 1538070263
- Vicky Stever, LPNLicensed Practical Nurse Ludington, MI NPI 1639043441
About NPI 1225935877
Lakeshore Treatment Center Inc's National Provider Identifier is 1225935877, issued on Oct 26, 2026. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Ludington, MI. The record was last updated on Oct 26, 2026.