Organization
MCLAREN LAPEER REGION
Active
Other names
Lapeer Regional Medical Center - Psy
Organization subpart
No
Provider details
NPI number
Authorized official
FRED KORTE (VP/CFO)
(810) 342-2000
Entity
Organization
Contact information
Practice address
1375 N MAIN ST, LAPEER, MI 48446-1350
(810) 667-5500
Mailing address
1375 N MAIN ST, LAPEER, MI 48446-1350
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382988086
TAX ID
MI
01
—
680D410720
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/05/2007
Last updated
06/26/2019
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