Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr – Dermatology Physician, NPI 1083485510

Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr is a healthcare provider. based in Grand rapids, Michigan. specializing in Dermatology Physician. The NPI Number for Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr is 1083485510

Main info

Organization
Name
Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr
NPI
1083485510
Phone
(616) 784-9300
Address
650 3 Mile Rd NW Ste 100
Authorized Official
BETSY J WERNLI PRESIDENT MD
Enumeration Date
12 January 2024
Last Update Date
12 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr

  • 650 3 Mile Rd NW Ste 100

    Grand Rapids, MI 495441624

    Phone: (616) 784-9300

    Fax: (616) 784-9308

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 6225 PRAIRIE ST

    NORTON SHORES, MI 494447831

    Phone: (231) 798-9500

    Fax: (231) 798-9533

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49544)

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Reviews

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Frequently asked questions

How do payers reference Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr?
For Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr, use NPI 1083485510 as the unique 10-digit identifier.
Is Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr shown as active in public data?
Registry records indicate Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr maintains an active NPI.
How would a patient describe Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr's focus?
For Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr, the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr associated with Grand Rapids?
Public fields place Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr around Grand Rapids, Michigan. Always confirm the exact site before visiting.
Does Lakeshore Dermatology Laser & Medical Spa, A Forefront Dermatology Pr accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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