| NPI | 1174038392 |
|---|---|
| Doing Business As | LAKELAND NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | MORGAN VINCENT Medical Staff Coordinator 269-983-8282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |