LAKELAND MEDICAL PRACTICES NPI 1588069314

NPI Information

  • NPI: 1588069314
  • Provider Name: LAKELAND MEDICAL PRACTICES
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Doing Business As: LAKELAND EAR NOSE & THROAT
  • Address: 2680 S CLEVELAND AVE
    SAINT JOSEPH, MI
    ZIP 49085
  • Phone: (269) 982-3368

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NPI Details

LAKELAND MEDICAL PRACTICES is an otolaryngology in Saint Joseph, MI. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. LAKELAND MEDICAL PRACTICES NPI is 1588069314. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lakeland Ear Nose & Throat.

The provider's business location address is:

2680 S CLEVELAND AVE
SAINT JOSEPH, MI
ZIP 49085-002
Phone: (269) 982-3368
Fax: (269) 983-3238

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 10/22/2014 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
1207Y00000XOtolaryngology4301070920MICHIGANYes

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
11538397120MEDICAIDMICHIGAN
2MI2051MEDICARE 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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