Lakeland Medical Practice

NPI #1639520851 in Buchanan, Michigan

Provider Information

NPI Number: 1639520851
Entity Type: Organization
Organization Name: Lakeland Medical Practice
Primary Specialty: Family Medicine
Enumeration Date: Jun 29, 2016
Last Updated: Jun 29, 2016

Practice Location

Address: 1045 E FRONT ST
Address 2: SUITE A
City: Buchanan
State: Michigan
ZIP Code: 49107-8474
Phone: (269) 695-5540

Authorized Official

Name: WARREN WHITE JR.
Title: VICE PRESIDENT PHYSICIAN PRACTICES
Phone: (269) 983-8304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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