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LAKELAND MEDICAL PRACTICES NPI 1083932453


NPI Information

NPI: 1083932453
Provider Name: LAKELAND MEDICAL PRACTICES

Doing Business As: FAMILY CARE OF COLOMA WATERVLIET

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
6559 PAW PAW AVE
COLOMA, MI
ZIP 49038
Phone: (269) 468-4100
Get Directions

LAKELAND MEDICAL PRACTICES is a clinic center in Coloma, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LAKELAND MEDICAL PRACTICES NPI is 1083932453. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Care Of Coloma Watervliet.

The provider's business location address is:

6559 PAW PAW AVE
COLOMA, MI
ZIP 49038-805
Phone: (269) 468-4100
Fax: (269) 468-3334

The provider's authorized official is Janice Crocker .
The authorized official title is Director and has the following contact phone number (269) 687-1152.

The enumeration date for this NPI number is 5/11/2010 and was last updated on 5/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MI2051MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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