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LAKELAND MEDICAL PRACTICES NPI 1235562174


NPI Information

NPI: 1235562174
Provider Name: LAKELAND MEDICAL PRACTICES

Doing Business As: BELLANOVA WOMENS HEALTH

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 23D0701880

Address:
3950 HOLLYWOOD RD
SUITE 100
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 429-8010
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LAKELAND MEDICAL PRACTICES is an obstetrics gynecology in Saint Joseph, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. LAKELAND MEDICAL PRACTICES NPI is 1235562174. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bellanova Womens Health.

The provider's business location address is:

3950 HOLLYWOOD RD
SUITE 100
SAINT JOSEPH, MI
ZIP 49085-159
Phone: (269) 429-8010
Fax: (269) 408-0986

The provider's authorized official is Warren White .
The authorized official title is Vice President Physician Practices and has the following contact phone number (269) 921-4315.

The CLIA number assigned to this NPI record is 23D0701880 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/14/2013 and was last updated on 3/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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