Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Lakeland Comprehensive Weight Loss Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CROCKER (DIRECTOR)
(269) 687-1152
Entity
Organization
Contact information
Practice address
42 N SAINT JOSEPH AVE, SUITE 101, NILES, MI 49120-2208
(269) 687-4673
(269) 687-1798
Mailing address
6416 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 687-4673
(269) 687-1798
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/11/2010
Last updated
07/13/2012
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