# LAKELAND HOUSECALLS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699086744
- **Authorized official:** DENNIS MACK (V P OPERATIONS & FACILITY)
- **Authorized official phone:** (269) 983-8399

## Contact information

- **Practice address:** 122 GRANT ST, NILES, MI 49120-2281
- **Practice address phone:** (269) 985-4401
- **Practice address fax:** (269) 684-0189
- **Mailing address:** 122 GRANT ST, NILES, MI 49120-2281
- **Mailing address phone:** (269) 985-4401
- **Mailing address fax:** (269) 684-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2010
- **Last updated:** 06/23/2010