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 Clinic/Center |
Enumeration Date | 2012-12-18 |
Last Update Date | 2013-01-02 |