Organization
LAKELAND MEDICAL PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CROCKER (DIRECTOR, PRACTICE SOLUTIONS)
(269) 687-1152
Entity
Organization
Contact information
Practice address
5515 CLEVELAND AVE, SUITE 5, STEVENSVILLE, MI 49127-9670
(269) 429-9644
(269) 429-4002
Mailing address
PO BOX 458, NILES, MI 49120-0458
(269) 684-0259
(269) 684-0189
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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