Lakeland Medical Practices

NPI #1487947446 in Berrien Springs, Michigan

Provider Information

NPI Number: 1487947446
Entity Type: Organization
Organization Name: Lakeland Medical Practices
Primary Specialty: Otolaryngology
Enumeration Date: May 25, 2011
Last Updated: May 25, 2011

Practice Location

Address: 9045 US HIGHWAY 31
Address 2: STE 3
City: Berrien Springs
State: Michigan
ZIP Code: 49103-1804
Phone: (269) 471-9702

Authorized Official

Name: JANICE CROCKER
Title: DIRECTOR, PRACTICE OPERATIONS
Phone: (269) 687-1152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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