| NPI | 1508102633 |
|---|---|
| Doing Business As | LAKELAND EDOCRINOLOGY & DIABETES |
| Entity Type | Organization |
| Authorized Contact | WARREN WHITE Vice President Physician Practices 269-921-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MI 4301088693) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2012-12-18 |
| Last Update Date | 2013-01-02 |