NPI | 1639520851 |
---|---|
Doing Business As | LAKELAND MEDICAL PRACTICE BUCHANAN |
Entity Type | Organization |
Authorized Contact | WARREN WHITE Vice President Physician Practices 269-983-8304 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 4301062519) |
Enumeration Date | 2016-06-29 |
Last Update Date | 2016-06-29 |