| NPI | 1033438932 |
|---|---|
| Doing Business As | LAKELAND EAR NOSE & THROAT |
| Entity Type | Organization |
| Authorized Contact | WARREN WHITE Vice President Physician Practices 269-983-8127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2016-03-14 |