# LAKELAND MEDICAL PRACTICES

> 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
- **Other names:** Sleep Medicine of Lakeland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720364573
- **Authorized official:** JANICE CROCKER (DIRECTOR PRACTICE OPERATION)
- **Authorized official phone:** (269) 687-1152

## Contact information

- **Practice address:** 2500 NILES RD, SUITE 9, SAINT JOSEPH, MI 49085-3237
- **Practice address phone:** (269) 408-1115
- **Practice address fax:** (269) 408-1166
- **Mailing address:** 6416 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
- **Mailing address phone:** (269) 471-7741
- **Mailing address fax:** (269) 471-1581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 4301086073 | MI | Yes |

## Other

- **Enumeration date:** 10/25/2011
- **Last updated:** 10/25/2011