| Lakeland Medical Practices | |
|
3950 Hollywood Rd Ste 230 Saint Joseph MI 49085-9158 | |
| (269) 985-0000 | |
| (269) 985-0360 |
| Full Name | Lakeland Medical Practices |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3950 Hollywood Rd Ste 230, Saint Joseph, Michigan |
| Authorized Official Name and Position | Morgan Vincent (MEDICAL STAFF COORDINATOR) |
| Authorized Official Contact | 2699838282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeland Medical Practices 3950 Hollywood Rd Ste 230 Saint Joseph MI 49085-9158 Ph: (269) 985-0000 | Lakeland Medical Practices 3950 Hollywood Rd Ste 230 Saint Joseph MI 49085-9158 Ph: (269) 985-0000 |
| NPI Number | 1174038392 |
|---|---|
| Provider Enumeration Date | 12/11/2017 |
| Last Update Date | 12/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174038392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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