# LAKELAND MEDICAL PRACTICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134898505
- **Authorized official:** PAUL KONOPACKI (FINANCE, VP)
- **Authorized official phone:** (616) 486-9305

## Contact information

- **Practice address:** 42 N SAINT JOSEPH AVE STE 300, NILES, MI 49120-2203
- **Practice address phone:** (269) 687-2910
- **Mailing address:** 100 MICHIGAN ST NE \# MC845, GRAND RAPIDS, MI 49503-2560
- **Mailing address phone:** (616) 486-6790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | — | — | — |
| 332S00000X | Hearing Aid Equipment | — | — | — |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 08/17/2022