Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Lakeland Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WHITE JR. (VP LAKELAND PHYSICIAN PRACTICES)
(269) 983-8127
Entity
Organization
Contact information
Practice address
61 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 684-6777
(269) 683-5384
Mailing address
61 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 684-6777
(269) 683-5384
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101009955
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538397120
—
MI
Enumeration date
02/14/2017
Last updated
02/14/2017
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