Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Lakeland Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WHITE (VICE PRESIDENT PHYSICIAN PRACTICES)
(269) 983-8304
Entity
Organization
Contact information
Practice address
4 LONGMEADOW VILLAGE DR, NILES, MI 49120-7809
(269) 684-6000
(269) 684-1388
Mailing address
4 LONGMEADOW VILLAGE DR, NILES, MI 49120-7809
(269) 684-6000
(269) 684-1388
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538397120
—
MI
Enumeration date
06/02/2010
Last updated
03/14/2016
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