Organization · Type 2 NPI

Lakeland Medical Practices

Neurology Physician · St. Joseph, MI

NPI number 1174038392 Active

Practice location

3950 Hollywood Rd Ste 230
St. Joseph, MI 49085-9158

Fax (269) 985-0360

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

2 other providers at this address

Other neurology physician providers in St. Joseph

Berrien Regional Associates In Neurology,pllcNeurology Physician St. Joseph, MI NPI 1346387784

See all in St. Joseph →

NPI record

NPI: 1174038392
Entity type: Organization (Type 2)
Issued: Dec 11, 2017
Last updated: Dec 11, 2017
Status: Active
Subpart: Yes of Lakeland Medical Practices

Other names

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Lakeland Neurology · doing business as

Authorized official

Morgan Vincent
Medical Staff Coordinator
(269) 983-8282

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174038392

Lakeland Medical Practices's National Provider Identifier is 1174038392, issued on Dec 11, 2017. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in St. Joseph, MI. The record was last updated on Dec 11, 2017.