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LAKELAND MEDICAL PRACTICE BUCHANAN
NPI 1639520851
Family Medicine in Buchanan, MI

Active since June 29, 2016
1045 E FRONT ST, SUITE A, BUCHANAN, MI 49107(269) 695-5540(269) 695-0412 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeland Medical Practice Buchanan NPPES

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

LAKELAND MEDICAL PRACTICE BUCHANAN (NPI 1639520851) is a healthcare organization registered as a family medicine in Buchanan, Michigan and active in the NPI registry since June 2016. The organization lists Warren White, Vice President Physician Practices, as its authorized official.

NPPES Registry Identity

NPI1639520851
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKELAND MEDICAL PRACTICE
Location Address1045 E FRONT ST, SUITE ABuchanan, MI 49107-8474
Mailing Address1045 E Front St, Suite ABuchanan, MI 49107-8474 · (269) 695-5540 · Fax (269) 695-0412
Phone(269) 695-5540
Fax(269) 695-0412
Organization SubpartNo
Authorized OfficialWarren WhiteVice President Physician Practices · (269) 983-8304
Enumeration DateJune 29, 2016
✔ NPI 1639520851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301062519
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1045 E FRONT ST, Buchanan, MI 49107
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Other Names 1

Doing Business AsLakeland Medical Practice Buchanan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

SOUTHWEST VISION CENTER INC.
Optometrist
1045 E FRONT ST, SUITE B4
BUCHANAN, MI 49107
Berrien County (269) 695-9011
MEGAN MCQUINN
Family Medicine
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
OLIVIA COCHRAN NP
Nurse Practitioner (Family)
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
ROY B PARKE D.O.
Family Medicine
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
MR. DEREK ALLEN HENDERSON PA
Physician Assistant
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
DR. AUDREY LYNN WEDDE D.O.
Family Medicine
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540
CYNTHIA PAPENDICK APRN BC INC
Registered Nurse (Psychiatric/Mental Health)
1045 E FRONT ST, SUITE B2
BUCHANAN, MI 49107
Berrien County (269) 695-1113
JULIA KOSTYUK FNP-BC
Nurse Practitioner (Primary Care)
1045 E FRONT ST
BUCHANAN, MI 49107
Berrien County (269) 695-5540

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 Practice's NPI number?

The NPI number for Lakeland Medical Practice is 1639520851. It was assigned to this organization in the NPPES registry on June 29, 2016. The provider is doing business as Lakeland Medical Practice Buchanan.

Where is Lakeland Medical Practice located?

Lakeland Medical Practice is located at 1045 E Front St Suite A, Buchanan, MI 49107. The listed phone number is (269) 695-5540.

What is Lakeland Medical Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Lakeland Medical Practice was last updated on June 29, 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.