# LAKELAND MEDICAL PRACTICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwestern Infectious Diease
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285062406
- **Authorized official:** WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES)
- **Authorized official phone:** (269) 921-4315

## Contact information

- **Practice address:** 3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9159
- **Practice address phone:** (269) 429-0900
- **Practice address fax:** (269) 408-0996
- **Mailing address:** 3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9159
- **Mailing address phone:** (269) 429-0900
- **Mailing address fax:** (269) 408-0996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 4301073475 | MI | Yes |

## Other

- **Enumeration date:** 10/25/2013
- **Last updated:** 10/25/2013