Organization
LAKELAND MEDICAL PRACTICES
Active
Parent organization
LAKELAND MEDICAL PRACTICES
Other names
Lakeland Primary Care, Royalton
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKELAND MEDICAL PRACTICES
Authorized official
MORGAN VINCENT (COORDINATOR)
(269) 983-8282
Entity
Organization
Contact information
Practice address
3950 HOLLYWOOD RD STE 270, SAINT JOSEPH, MI 49085-9158
(269) 982-7840
(269) 982-7843
Mailing address
3950 HOLLYWOOD RD STE 270, SAINT JOSEPH, MI 49085-9158
(269) 982-7840
(269) 982-7843
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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