NPI
Lake Shore Afc, Llc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2018-07-09
- Last updated
- 2018-07-09
Specialties
Licenses
- License MI
- AM280289926
Location
- Practice location
- 2480 Tonawanda Lake Rd
- City
- Grawn MI
- Postal code
- 49637-9615
- Phone
- (231) 276-9260
Organization contact
- Name
- RANDY SCHOLTUS
- Title
- Administrator
- Phone
- 2312769260
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Grawn, MI. 13 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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