Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Lakeland Cancer Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CROCKER (DIRECTOR OF PRACTICE OPERATONS)
(269) 687-1152
Entity
Organization
Contact information
Practice address
3950 HOLLYWOOD RD, SUITE 240, SAINT JOSEPH, MI 49085-9151
(269) 428-4411
(269) 428-4422
Mailing address
3950 HOLLYWOOD RD, SUITE 240, SAINT JOSEPH, MI 49085-9151
(269) 428-4411
(269) 428-4422
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301085395
MI
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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