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OIG exclusion detail

LAKESHORE SPINE & PAIN, P C

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
1699043299
Name
LAKESHORE SPINE & PAIN, P C
Address
5511 W US HIGHWAY 10, LUDINGTON, MI, 49431
Specialty
PHYS THERAPY PROVIDE
Exclusion type
1128b7
Exclusion date
20130621
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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