Provider Type Icon

LAKE COUNTRY UROLOGY CLINIC PLLC NPI 1952433732


NPI Information

NPI: 1952433732
Provider Name: LAKE COUNTRY UROLOGY CLINIC, PLLC

Doing Business As: LAKE COUNTRY HEALTH ALLIANCE

Classification: Urology - 208800000X
Entity Type: Organization
Address:
711 S HEALTH PKWY
THREE RIVERS, MI
ZIP 49093
Phone: (269) 651-4708
Get Directions

LAKE COUNTRY UROLOGY CLINIC, PLLC is an urology in Three Rivers, MI. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. LAKE COUNTRY UROLOGY CLINIC, PLLC NPI is 1952433732. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Lake Country Health Alliance.

The provider's business location address is:

711 S HEALTH PKWY
THREE RIVERS, MI
ZIP 49093-387
Phone: (269) 651-4708

The provider's authorized official is Mariano L Orca .
The authorized official title is President, Pllc and has the following contact phone number (269) 651-4708.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 10/17/2007.


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
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10N96550MEDICARE PINMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.