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

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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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.