Dermatology, Procedural Dermatology
LAKESHORE DERM & LASER CENTER PLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1538209945 · enumerated 2007-02-07 · record updated 2013-10-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: JASON VAN ITTERSUM M.D., Owner · (231) 798-9500
Addresses and phones
- Mailing address 6225 PRAIRIE ST, NORTON SHORES, MI, 49444-7831 (231) 798-9500 Fax (231) 798-9533 Google Maps Apple Maps OpenStreetMap
- Practice location 6225 PRAIRIE ST, NORTON SHORES, MI, 49444-7831 (231) 798-9500 Fax (231) 798-9533 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, Procedural Dermatology 207NS0135X · Primary
In this directory
MI Muskegon County Norton Shores Dermatology, Procedural Dermatology
Locations and evidence
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Practice location
NORTON SHORES, MI, 494447831
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.