Lakeland Professional Services, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAKELAND PROFESSIONAL SERVICES, INC

Doing business as

Family Care of Niles

Practice address

4 Long Meadow Village LN
Suite 2
Niles, MI 49120-7808

Phone

(269) 684-6000

Fax

(269) 684-1388

NPI assigned

Feb 3, 2006

Last updated

Nov 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Geegan Middleton

Title

Executive Director

Phone

(269) 684-0259

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Care of Niles Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1659343622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LONG MEADOW VILLAGE LN",
            "address_2": "SUITE 2",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491207808",
            "telephone_number": "269-684-6000",
            "fax_number": "269-684-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 LONG MEADOW VILLAGE LN",
            "address_2": "SUITE 2",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491207808",
            "telephone_number": "269-684-6000",
            "fax_number": "269-684-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND PROFESSIONAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "GEEGAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-684-0259"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN2908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP #",
            "identifier": "OA110150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care of Niles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lakeland Medical Practices (Lakeland Family Medicine)
• Lakeland Medical Practices (Lakeland Orthopeadics)
• Lakeland Medical Practices (Lakeside Urology)
• Lakeland Medical Practices (Women's Health Center at SWMC)
• Lakeland Nuclear Imaging, Inc.
• Addison Lalime
• Darrel Lall, TLLP
• Sari Lammivaara, LMSW
• Melodi Lane
• Edward David Lanigan, M.D.

• Family Medicine Physician in Niles, MI
• Providers in Niles, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.