Organization
LAKELAND MEDICAL PRACTICES
Active
Parent organization
LAKELAND MEDICAL PRACTICES
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
6559 PAW PAW AVE, COLOMA, MI 49038-8805
(269) 985-0000
(269) 985-0360
Mailing address
3950 HOLLYWOOD RD STE 230, SAINT JOSEPH, MI 49085-9158
(269) 985-0000
(269) 985-0360
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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