LAKELAND FAMILY CARE OF NILES
NPI 1629397534
Clinic/Center in Niles, MI

Q: What is Lakeland Medical Practices's NPI number?

The NPI number for Lakeland Medical Practices is 1629397534. It was assigned to this organization in the NPPES registry on May 18, 2010. The provider is doing business as Lakeland Family Care Of Niles.

Q: What is Lakeland Medical Practices's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 18, 2010

4 LONGMEADOW VILLAGE DR, NILES, MI 49120(269) 684-6000(269) 684-1388 Get Directions Write a Review

NPPES record last updated: March 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lakeland Family Care Of Niles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKELAND FAMILY CARE OF NILES (NPI 1629397534) is a healthcare organization registered as a clinic/center in Niles, Michigan and active in the NPI registry since May 2010. The organization lists Warren White, Excutive Director, as its authorized official.

NPPES Registry Identity

NPI1629397534

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLAKELAND MEDICAL PRACTICES

Location Address4 LONGMEADOW VILLAGE DRNiles, MI 49120-7809

Mailing Address4 Longmeadow Village DrNiles, MI 49120-7809 · (269) 684-6000 · Fax (269) 684-1388

Phone(269) 684-6000

Fax(269) 684-1388

Organization SubpartNo

Authorized OfficialWarren WhiteExcutive Director · (269) 983-8304

Enumeration DateMay 18, 2010

Last NPPES UpdateMarch 9, 2016

✔ NPI 1629397534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 LONGMEADOW VILLAGE DR, Niles, MI 49120

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Other Names 1

Doing Business AsLakeland Family Care Of Niles

Other Identifiers 1

Medicare PINMI2051MI

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSA LEE JOHNSON D.O.

Family Medicine

4 LONGMEADOW VILLAGE DR
NILES, MI 49120

Berrien County (269) 684-6000

ALEXANDRIA CAROLINE RODEN MD

Family Medicine

4 LONGMEADOW VILLAGE DR
NILES, MI 49120

Berrien County (269) 684-6000

JOHN W. HOWARD M.D.

Family Medicine

4 LONGMEADOW VILLAGE DR
NILES, MI 49120

Berrien County (269) 684-6000

DR. ELLEN TAMBUNAN M.D.

Family Medicine

4 LONGMEADOW VILLAGE DR
NILES, MI 49120

Berrien County (269) 684-6000

CICELY MORENO M.D.

Family Medicine (Addiction Medicine)

4 LONGMEADOW VILLAGE DR
NILES, MI 49120

Berrien County (269) 684-6000

TRACY J TACKET DO

Family Medicine

4 LONGMEADOW VILLAGE DR
NILES, MI 49120

Berrien County (269) 684-6000

LAKELAND FAMILY CARE OF NILES

Family Medicine

4 LONGMEADOW VILLAGE DR, SUITE 2
NILES, MI 49120

Berrien County (269) 684-6000

LAKELAND MEDICAL PRACTICES

Clinic/Center

4 LONGMEADOW VILLAGE DR
NILES, MI 49120

Berrien County (269) 684-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeland Medical Practices's NPI number?

The NPI number for Lakeland Medical Practices is 1629397534. It was assigned to this organization in the NPPES registry on May 18, 2010. The provider is doing business as Lakeland Family Care Of Niles.

Where is Lakeland Medical Practices located?

Lakeland Medical Practices is located at 4 Longmeadow Village Dr, Niles, MI 49120. The listed phone number is (269) 684-6000.

What is Lakeland Medical Practices's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lakeland Medical Practices was last updated on March 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.