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Lakeshore Medical Center, P.C.

NPI 1437239043ActiveOrganization· Family Medicine· Clinton Twp, MI

Family Medicine in Clinton Twp, Michigan, registered in NPPES in October 2006. The authorized official on file is John R. Pradko, D.O., Owner.

Overview

NPI1437239043
StatusActive
Entity typeOrganization
NPI issuedOct 17, 2006
Last updated in NPPESOct 23, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Clinton Twp

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