Organization
LAKELAND MEDICAL PRACTICES
Active
Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Family Care of Coloma Watervliet
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CROCKER (DIRECTOR)
(269) 687-1152
Entity
Organization
Contact information
Practice address
6559 PAW PAW AVE, COLOMA, MI 49038-8805
(269) 468-4100
(269) 468-3334
Mailing address
6559 PAW PAW AVE, COLOMA, MI 49038-8805
(269) 468-4100
(269) 468-3334
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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