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Contact Information

LAKE REGION MEDICAL CENTER, P.C.
8981 GEORGE AVE
BERRIEN SPRINGS, MI49103-1407
 Phone: 269-471-9436
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Body Imaging

2085B0100X
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LAKE REGION MEDICAL CENTER, P.C.

NPI # 1912105602
LBN Legal business name LAKE REGION MEDICAL CENTER, P.C.
Authorized official CHARLES MOSIMBWA - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/05/2007
Last updated 04/01/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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