| Lakeland Medical Practices | |
|
2500 Niles Ave. Suite 1 St. Joseph MI 49085 | |
| (269) 983-3380 | |
| (269) 985-0353 |
| Full Name | Lakeland Medical Practices |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 Niles Ave., St. 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 2500 Niles Ave. Suite 1 St. Joseph MI 49085 Ph: (269) 983-3380 | Lakeland Medical Practices 2500 Niles Ave. Suite 1 St. Joseph MI 49085 Ph: (269) 983-3380 |
| NPI Number | 1396239562 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 06/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396239562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |