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Organization

LAKELAND MEDICAL PRACTICES

Active
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Organization

LAKELAND MEDICAL PRACTICES

Active
Parent organization
LAKELAND MEDICAL PRACTICES
Other names
Southwestern Medical Clinic - St. Joseph
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
4077 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-9513
(269) 429-2992
(269) 429-3372
Mailing address
4077 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-9513
(269) 429-2992
(269) 429-3372

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
04/04/2018
Last updated
04/04/2018
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