LAKELAND MEDICAL PRACTICES NPI 1104145002

NPI Information

  • NPI: 1104145002
  • Provider Name: LAKELAND MEDICAL PRACTICES
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: LAKELAND GENERAL SURGERY
  • Address: 42 N SAINT JOSEPH AVE
    SUITE 100
    NILES, MI
    ZIP 49120
  • Phone: (269) 684-6696

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NPI Details

LAKELAND MEDICAL PRACTICES is a clinic center in Niles, 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 1104145002. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeland General Surgery.

The provider's business location address is:

42 N SAINT JOSEPH AVE
SUITE 100
NILES, MI
ZIP 49120-208
Phone: (269) 684-6696
Fax: (269) 684-5286

The provider's authorized official is Warren White .
The authorized official title is V.p. Physician Practices and has the following contact phone number (269) 983-8127.

The enumeration date for this NPI number is 5/18/2010 and was last updated on 3/14/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 3/30/2025

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