| NPI | 1376863407 |
|---|---|
| Doing Business As | LAKELAND COMPREHENSIVE WEIGHT LOSS CENTER |
| Entity Type | Organization |
| Authorized Contact | JANICE CROCKER Director 269-687-1152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2012-07-13 |