Organization
LAKELAND MEDICAL PRACTICES
Active
Parent organization
LAKELAND MEDICAL PRACTICES
Other names
Lakeland Primary Care
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
2500 NILES AVE., SUITE 1, ST. JOSEPH, MI 49085
(269) 983-3380
(269) 985-0353
Mailing address
2500 NILES AVE., SUITE 1, ST. JOSEPH, MI 49085
(269) 983-3380
(269) 985-0353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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