Organization
LAKELAND MEDICAL PRACTICES
Active
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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