Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Sleep Medicine of Lakeland
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CROCKER (DIRECTOR PRACTICE OPERATION)
(269) 687-1152
Entity
Organization
Contact information
Practice address
2500 NILES RD, SUITE 9, SAINT JOSEPH, MI 49085-3237
(269) 408-1115
(269) 408-1166
Mailing address
6416 DEANS HILL RD, BERRIEN CENTER, MI 49102-9750
(269) 471-7741
(269) 471-1581
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
4301086073
MI
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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