Organization
LAKELAND MEDICAL PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CROCKER (DIRECTOR, PRACTICE SOLUTIONS)
(269) 687-1152
Entity
Organization
Contact information
Practice address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9151
(269) 429-8010
(269) 408-0986
Mailing address
PO BOX 458, NILES, MI 49120-0458
(269) 684-0259
(269) 684-0199
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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