Organization · Type 2 NPI
Liberty Dialysis - Lakeland LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · St. Joseph, MI
NPI number
1013231620
Active
Practice location
3772 Hollywood Rd
St. Joseph, MI 49085-9550
Mailing address
7650 SE 27th St, Suite 200
Mercer Island, WA 98040-3060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
Another provider at this address
Other end-stage renal disease (esrd) treatment clinic/center providers in St. Joseph
About NPI 1013231620
Liberty Dialysis - Lakeland LLC's National Provider Identifier is 1013231620, issued on Mar 25, 2010. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in St. Joseph, MI. The record was last updated on Jul 19, 2017.