LAKELAND MEDICAL PRACTICES NPI 1255659744

NPI Information

  • NPI: 1255659744
  • Provider Name: LAKELAND MEDICAL PRACTICES
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHWESTERN MEDICAL CLINIC - BRIDGMAN
  • CLIA Number: 23D0701884
  • Address: 9625 RED ARROW HWY
    BRIDGMAN, MI
    ZIP 49106
  • Phone: (269) 684-0259

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NPI Details

LAKELAND MEDICAL PRACTICES is a clinic center in Bridgman, 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 1255659744. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwestern Medical Clinic - Bridgman.

The provider's business location address is:

9625 RED ARROW HWY
BRIDGMAN, MI
ZIP 49106-559
Phone: (269) 684-0259
Fax: (269) 684-0189

The provider's authorized official is Warren White .
The authorized official title is Vice President Physician Practices and has the following contact phone number (269) 983-8304.

The CLIA number assigned to this NPI record is 23D0701884 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/10/2010 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

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: 11/21/2025

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