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Organization
LAKE CITY PRIMARY CARE PC
Active
Organization
LAKE CITY PRIMARY CARE PC
Active
Other names
Lake City Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BALL (OFFICE MANAGER)
(231) 908-8888
Entity
Organization
Contact information
Practice address
1866 S MOREY RD, LAKE CITY, MI 49651
(231) 908-8888
(833) 989-2153
Mailing address
1866 S MOREY RD, LAKE CITY, MI 49651-9190
(231) 830-7282
(231) 830-7222
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/29/2018
Last updated
10/03/2022
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