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Organization

LAKELAND MEDICAL PRACTICES

Active
Parent organization
LAKELAND MEDICAL PRACTICES
Other names
University Medical Specialties
Organization subpart
Yes

Provider details

NPI number
Legal business name
LAKELAND MEDICAL PRACTICES
Authorized official
MORGAN VINCENT (MEDICAL STAFF COORDINATOR)
(269) 983-8282
Entity
Organization

Contact information

Practice address
9045 OLD US 31, SUITE A, BERRIEN SPRINGS, MI 49103
(269) 473-2222
(269) 473-6880
Mailing address
9045 OLD US 31, SUITE A, BERRIEN SPRINGS, MI 49103
(269) 473-2222
(269) 473-6880

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
11/25/2019
Last updated
11/25/2019
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