Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeshore Interventional Pain Associates, LLC

Organization Specialist · NPI 1386823540

Lakeshore Interventional Pain Associates, LLC provides Specialist services in Michigan City, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1507 Wabash St Ste 400C
Michigan City, IN 46360-4300 Not confirmed with CMS for 17 years — call before visiting
Phone: (219) 871-0833
Fax: (219) 871-0836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 01057031A (IN)
Case Management Agency Taxonomy 251B00000X · Licence 01057031A

Record details

NPI number1386823540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamil Ahmed — Owner · (219) 871-0833
NPI enumeratedOctober 24, 2007
Last updated in NPPESMay 5, 2009
Mailing address1507 Wabash St, Suite 400c, Michigan City, IN 46360-4300

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