Lakeland Care INC
NPI #1366563314 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1366563314
- Entity Type
- Organization
- Organization Name
- Lakeland Care INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 3, 2007
- Last Updated
- Jan 4, 2017
Practice Location
- Address
- N6654 ROLLING MEADOWS DR
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54937-9471
- Phone
- (920) 906-5100
Authorized Official
- Name
- KIM M MICKLE
- Title
- COMPLIANCE MANAGER
- Phone
- (920) 906-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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