Organization
KALMAZOO GASTROENTEROLOGY HEPATOLOGY AND DIGESTIVE HEALTH CENTER
Active
Parent organization
PARAGON HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARAGON HEALTH
Authorized official
MR. LANCE LINCOLN PRIDE PAC (PHYSICIAN ASSISTANT)
(269) 385-9900
Entity
Organization
Contact information
Practice address
1535 GULL RD STE 105, KALAMAZOO, MI 49048-1630
(269) 385-9900
(269) 385-2140
Mailing address
1535 GULL RD STE 105, KALAMAZOO, MI 49048-1630
(269) 385-9900
(269) 385-2140
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006118
MI
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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