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LAKELAND FAMILY CARE OF NILES
NPI 1649432980
Family Medicine in Niles, MI

Active since June 27, 2008
4 LONGMEADOW VILLAGE DR, SUITE 2, NILES, MI 49120(269) 684-6000(269) 684-1388 Get Directions Write a Review

NPPES record last updated: October 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1649432980) is a healthcare organization registered as a family medicine in Niles, Michigan and active in the NPI registry since June 2008. The organization lists Robin Mack, V.p Operations Physician Services, as its authorized official.

NPPES Registry Identity

NPI1649432980
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKELAND FAMILY CARE OF NILES
Location Address4 LONGMEADOW VILLAGE DR, SUITE 2Niles, MI 49120-7809
Mailing Address4 Longmeadow Village Dr, Suite 2Niles, MI 49120-7809 · (269) 684-6000 · Fax (269) 684-1388
Phone(269) 684-6000
Fax(269) 684-1388
Organization SubpartYesParent: Four Flags Health Venture
Authorized OfficialRobin MackV.p Operations Physician Services · (269) 983-8574
Enumeration DateJune 27, 2008
Last NPPES UpdateOctober 16, 2008
✔ NPI 1649432980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
4 LONGMEADOW VILLAGE DR, Niles, MI 49120
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 MEDICAL PRACTICES
Clinic/Center
4 LONGMEADOW VILLAGE DR
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 Family Care Of Niles's NPI number?

The NPI number for Lakeland Family Care Of Niles is 1649432980. It was assigned to this organization in the NPPES registry on June 27, 2008.

Where is Lakeland Family Care Of Niles located?

Lakeland Family Care Of Niles is located at 4 Longmeadow Village Dr Suite 2, Niles, MI 49120. The listed phone number is (269) 684-6000.

What is Lakeland Family Care Of Niles'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 Family Care Of Niles was last updated on October 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.