LAKESIDE PULMONARY MEDICINE PLLC – NPI #1508707100
Internal Medicine

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Health Care Provider Taxonomy Code for Internal Medicine

LAKESIDE PULMONARY MEDICINE PLLC is a provider located in SAINT JOSEPH, MI. NPPES recently assigned the NPI number 1508707100 to LAKESIDE PULMONARY MEDICINE PLLC on April 06, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RP1001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Pulmonary Disease

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKESIDE PULMONARY MEDICINE PLLC below.

NPI Profile for
LAKESIDE PULMONARY MEDICINE PLLC

NPI Number
1508707100
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKESIDE PULMONARY MEDICINE PLLC
Primary location
435 UPTON DR
SAINT JOSEPH, MI 49085-1058
Phone: (269) 588-1994 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CORY O'BRIEN
OWNER
Phone: (517) 290-5639
Updated
Certification Date
Apr 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RP1001X
- Internal Medicine / Pulmonary Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.