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Organization
LAKELAND MEDICAL ASSOCIATES
Active
Organization
LAKELAND MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SWARTWOOD (AUTHORIZED OFFICIAL)
(903) 676-3200
Entity
Organization
Contact information
Practice address
117 MEDICAL CIR, ATHENS, TX 75751-9003
(903) 676-3200
(833) 428-4545
Mailing address
117 MEDICAL CIR, ATHENS, TX 75751-9003
(903) 676-3200
(833) 428-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C4956
AR
207Q00000X
Family Medicine Physician
C5043
AR
207Q00000X
Family Medicine Physician
E4479
TX
207Q00000X
Family Medicine Physician
Primary
E7871
TX
207Q00000X
Family Medicine Physician
F6042
TX
207Q00000X
Family Medicine Physician
G1367
TX
207Q00000X
Family Medicine Physician
G2988
TX
207Q00000X
Family Medicine Physician
G3099
TX
207Q00000X
Family Medicine Physician
H6314
TX
207Q00000X
Family Medicine Physician
Primary
J4022
TX
207Q00000X
Family Medicine Physician
L0856
TX
207Q00000X
Family Medicine Physician
L1095
TX
207Q00000X
Family Medicine Physician
M0239
TX
363A00000X
Physician Assistant
L1095
TX
363LF0000X
Family Nurse Practitioner
H6314
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D969
BCBS GROUP NUMBER
TX
05
—
111549502
—
TX
05
—
111549503
—
TX
Enumeration date
06/16/2005
Last updated
04/28/2026
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