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Organization

LAKELAND MEDICAL PRACTICES

Active
Parent organization
LAKELAND MEDICAL PRACTICES
Other names
Lakeland Occupational Health
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 RD STE 4, SAINT JOSEPH, MI 49085-3225
(269) 408-4171
(269) 408-4174
Mailing address
2500 NILES RD STE 4, SAINT JOSEPH, MI 49085-3225
(269) 408-4171
(269) 408-4174

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary

Other

Enumeration date
01/04/2019
Last updated
01/04/2019
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