Lake Country Urology Clinic, Pllc
NPI #1952433732 in Three Rivers, Michigan
Provider Information
- NPI Number
- 1952433732
- Entity Type
- Organization
- Organization Name
- Lake Country Urology Clinic, Pllc
- Primary Specialty
- Urology
- Enumeration Date
- Mar 9, 2007
- Last Updated
- Oct 17, 2007
Practice Location
- Address
- 711 S HEALTH PKWY
- City
- Three Rivers
- State
- Michigan
- ZIP Code
- 49093-9387
- Phone
- (269) 651-4708
Authorized Official
- Name
- MARIANO L ORCA, M.D.
- Title
- PRESIDENT, PLLC
- Phone
- (269) 651-4708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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