# LAKELAND MEDICAL PRACTICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corewell Health Medical Group South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538397120
- **Authorized official:** WARREN WHITE (V.P. LAKELAND PHYSICIAN PRACTICES)
- **Authorized official phone:** (269) 983-8127

## Contact information

- **Practice address:** 1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
- **Practice address phone:** (269) 428-5007
- **Practice address fax:** (269) 428-2789
- **Mailing address:** PO BOX 708, SAINT JOSEPH, MI 49085-0708
- **Mailing address phone:** (269) 428-5007
- **Mailing address fax:** (269) 428-2789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2009
- **Last updated:** 12/17/2023
