# LAKELAND MEDICAL PRACTICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeland Pathology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477890929
- **Authorized official:** WARREN WHITE (VICE PRESIDENT PHYSICIAN OFFICES)
- **Authorized official phone:** (269) 921-4315

## Contact information

- **Practice address:** 1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
- **Practice address phone:** (269) 983-8311
- **Mailing address:** 1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
- **Mailing address phone:** (269) 983-8311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 4301091220 | MI | Yes |

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 01/03/2013