Lakeland Home Program, LLC
NPI #1184146789 in Brandon, Mississippi
Provider Information
- NPI Number
- 1184146789
- Entity Type
- Organization
- Organization Name
- Lakeland Home Program, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- FRESENIUS MEDICAL CARE HOLDINGS, INC.
- Primary Specialty
- Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
- Enumeration Date
- Jul 14, 2017
- Last Updated
- Oct 14, 2023
Practice Location
- Address
- 209 MAR LYN DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-2483
- Phone
- (601) 591-0053
Authorized Official
- Name
- BARRY L. BLANTON
- Title
- VICE PRESIDENT
- Phone
- (781) 699-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment |
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