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Organization
LAKELAND MEDICAL PRACTICES
Active
Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Lakeland Cancer Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CROCKER (DIRECTOR OF PRACTICE OPERATONS)
(269) 687-1152
Entity
Organization
Contact information
Practice address
3950 HOLLYWOOD RD, SUITE 240, SAINT JOSEPH, MI 49085-9151
(269) 428-4411
(269) 428-4422
Mailing address
3950 HOLLYWOOD RD, SUITE 240, SAINT JOSEPH, MI 49085-9151
(269) 428-4411
(269) 428-4422
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301085395
MI
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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