# LAKELAND PHYSICIAN PRACTICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bankhead Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255613378
- **Authorized official:** DANIEL SYKES (VICE PRESIDENT)
- **Authorized official phone:** (615) 372-8500

## Contact information

- **Practice address:** 42030 HIGHWAY 195 STE A, HALEYVILLE, AL 35565-7054
- **Practice address phone:** (205) 485-7219
- **Practice address fax:** (205) 485-7135
- **Mailing address:** PO BOX 1085, 42030 HIGHWAY 195 SUITE A, HALEYVILLE, AL 35565-1085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 09/14/2011