LAKE COUNTRY UROLOGY CLINIC PLLC NPI 1528190303

NPI Information

  • NPI: 1528190303
  • Provider Name: LAKE COUNTRY UROLOGY CLINIC, PLLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: LAKE COUNTRY HEALTH ALLIANCE
  • Address: 420 W HIGH ST
    DOWAGIAC, MI
    ZIP 49047
  • Phone: (269) 651-4708

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NPI Details

LAKE COUNTRY UROLOGY CLINIC, PLLC is an urology in Dowagiac, MI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. LAKE COUNTRY UROLOGY CLINIC, PLLC NPI is 1528190303. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lake Country Health Alliance.

The provider's business location address is:

420 W HIGH ST
DOWAGIAC, MI
ZIP 49047-943
Phone: (269) 651-4708

The provider's authorized official is Mariano L Orca .
The authorized official title is President, Pllc and has the following contact phone number (269) 651-4708.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 10/17/2007.

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
1208800000XUrologyYes

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
10N96550MEDICARE 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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