NPI 1225321045

Lakeland Medical Practices

Organisation Oncology Clinic/Center Saint Joseph, MI

Practice location

Address: 3950 Hollywood Rd Suite 240, Saint Joseph, MI 49085-9159
Phone: (269) 428-4411
Fax: (269) 428-4422
Mailing address: 3900 Hollywood Rd, Saint Joseph, MI 49085-9149

Authorised official

Name: Janice Crocker
Title: Director Practice Operations
Phone: (269) 687-1152

Registered specialties

Oncology Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QX0200X Licence 4301085395 (MI)

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Registry record

NPI: 1225321045
Entity type: Organization
NPI issued: 26 May 2011
Record last updated: 27 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.