Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lakewood Family Medicine PLC

Organization Family Medicine Physician · NPI 1073609392

Lakewood Family Medicine PLC provides Family Medicine Physician services in Holland, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

382 N 120th Ave
Holland, MI 49424-2169
Phone: (616) 396-6516
Fax: (616) 396-2513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1073609392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Smith — Physician · (616) 396-6516
NPI enumeratedOctober 5, 2006
Last updated in NPPESNovember 9, 2018
Mailing address382 N 120th Ave, Holland, MI 49424-2169

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