# LAKELAND MEDICAL PRACTICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakeland Edocrinology & Diabetes
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508102633
- **Authorized official:** WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES)
- **Authorized official phone:** (269) 921-4315

## Contact information

- **Practice address:** 3950 HOLLYWOOD RD, SUITE 284, SAINT JOSEPH, MI 49085-9159
- **Practice address phone:** (269) 408-1600
- **Practice address fax:** (269) 408-1602
- **Mailing address:** 3950 HOLLYWOOD RD, SUITE 284, SAINT JOSEPH, MI 49085-9159
- **Mailing address phone:** (269) 408-1600
- **Mailing address fax:** (269) 408-1602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 4301088693 | MI | Yes |
| 261Q00000X | Clinic/Center | — | MI | — |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 01/02/2013