Organization
LAKELAND MEDICAL PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW E COX (CFO)
(616) 486-6790
Entity
Organization
Contact information
Practice address
3900 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9149
(269) 429-9677
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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