NPI:
1508102633
Provider Name:
LAKELAND MEDICAL PRACTICES
Doing Business As: LAKELAND EDOCRINOLOGY & DIABETES
Classification:
Internal Medicine - 207RE0101X
Entity Type:
Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 23D2067109
Address:
3950 HOLLYWOOD RD
SUITE 284
SAINT JOSEPH, MI
ZIP 49085
Phone:
(269) 408-1600
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LAKELAND MEDICAL PRACTICES is an endocrinology and diabetes and metabolism internal medicine in Saint Joseph, MI. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. LAKELAND MEDICAL PRACTICES NPI is 1508102633. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeland Edocrinology & Diabetes.
The provider's business location address is:
3950 HOLLYWOOD RD
SUITE 284
SAINT JOSEPH, MI
ZIP 49085-159
Phone: (269) 408-1600
Fax: (269) 408-1602
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) 921-4315.
The CLIA number assigned to this NPI record is 23D2067109 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/18/2012 and was last updated on 1/2/2013.