River Journey Memory Clinic
Organization Active NPI Geriatric Psychiatry Physician · Lawton, MI
NPI 1326705294 · NPPES record last updated Apr 19, 2023
Key facts
- NPI
- 1326705294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Psychiatry Physician 2084P0805X
- Legal business name
- RIVER JOURNEY MEMORY CLINIC
- Practice address
- 28284 62ND Ave
Lawton, MI 49065-5613 - Phone
- (269) 547-7630
- Fax
- (269) 225-0607
- NPI assigned
- Nov 26, 2021
- Organization subpart
- No
Authorized official
- Name
- Lisa Woodruff, NP
- Title
- NP/Owner
- Phone
- (269) 547-7630
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician |
2084P0805X | Yes |
Addresses
Primary practice location
28284 62ND Ave
Lawton, MI 49065-5613
Mailing address
28284 62ND Ave
Lawton, MI 49065-5613
Phone (269) 547-7630
Other providers in Lawton, MI
- Patricia Ann Hinckley
- Sarah Johnson
- Jessica Noel Leighton
- Jenna Maury
- Beth Peuler
- Jeffrey Robert Stull
- Sandy J Waite
- White Oaks Retirement Residence, Inc
All providers in Lawton, MI · Geriatric Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.