Lakeland Medical Practices

NPI #1902462682 in Saint Joseph, Michigan

Provider Information

NPI Number: 1902462682
Entity Type: Organization
Organization Name: Lakeland Medical Practices
Subpart: Yes (part of a larger organization)
Parent Organization: LAKELAND MEDICAL PRACTICES
Primary Specialty: Internal Medicine
Enumeration Date: May 17, 2019
Last Updated: May 17, 2019

Practice Location

Address: 3950 HOLLYWOOD RD STE 270
City: Saint Joseph
State: Michigan
ZIP Code: 49085-9158
Phone: (269) 982-7840

Authorized Official

Name: MORGAN VINCENT
Title: COORDINATOR
Phone: (269) 983-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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