LAKELAND MEDICAL PRACTICES NPI 1548588031

NPI Information

  • NPI: 1548588031
  • Provider Name: LAKELAND MEDICAL PRACTICES
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Address: 2002 S 11TH ST
    NILES, MI
    ZIP 49120
  • Phone: (269) 687-0200

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NPI Details

LAKELAND MEDICAL PRACTICES is a rural health clinic center in Niles, MI. LAKELAND MEDICAL PRACTICES NPI is 1548588031. The provider is registered as an organization entity type.

The provider's business location address is:

2002 S 11TH ST
NILES, MI
ZIP 49120-074
Phone: (269) 687-0200
Fax: (269) 684-0199

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) 983-8127.

The enumeration date for this NPI number is 5/10/2010 and was last updated on 4/11/2013.

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
1261QR1300XClinic/CenterRural HealthYes

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
11548588031MEDICAIDMICHIGAN
2233815MEDICARE 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: 11/21/2025

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