Organization
LAKELAND NEURO CARE CENTER PTR
Active
Other names
The Lakeland Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ERNEST ROMANELLI (COO & CFO)
(248) 350-8070
Entity
Organization
Contact information
Practice address
26900 FRANKLIN RD., SOUTHFIELD, MI 48033
(248) 350-8070
(248) 350-9734
Mailing address
26900 FRANKLIN RD., SOUTHFIELD, MI 48033
(248) 350-8070
(248) 350-9734
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
604846736
—
MI
Enumeration date
04/26/2007
Last updated
01/25/2017
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