| NPI | 1902462682 |
|---|---|
| Doing Business As | LAKELAND PRIMARY CARE, ROYALTON |
| Entity Type | Organization |
| Authorized Contact | MORGAN VINCENT Coordinator 269-983-8282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |