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LAKESIDE UROLOGY
NPI 1932493863
Urology in Niles, MI

Active since June 08, 2011
42 N SAINT JOSEPH AVE, SUITE 200, NILES, MI 49120(269) 684-5447(269) 684-0256 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeside Urology NPPES

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

LAKESIDE UROLOGY (NPI 1932493863) is a healthcare organization registered as an urology in Niles, Michigan and active in the NPI registry since June 2011. The organization lists Jancie Crocker, Director, Practice Operations, as its authorized official.

NPPES Registry Identity

NPI1932493863
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameLAKELAND MEDICAL PRACTICES
Location Address42 N SAINT JOSEPH AVE, SUITE 200Niles, MI 49120-2208
Mailing Address6416 Deans Hill RdBerrien Center, MI 49102-9750 · (269) 471-7741 · Fax (269) 471-1581
Phone(269) 684-5447
Fax(269) 684-0256
Organization SubpartNo
Authorized OfficialJancie CrockerDirector, Practice Operations · (268) 687-1152
Enumeration DateJune 8, 2011
Last NPPES UpdateJuly 13, 2012
✔ NPI 1932493863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MI · 4301036136
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
42 N SAINT JOSEPH AVE, Niles, MI 49120
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Other Names 1

Doing Business AsLakeside Urology

Other Identifiers 2

OtherMI2051MI · Group Medicare #
Other1538397120MI · Group Npi

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 16

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

LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 300
NILES, MI 49120
Berrien County (269) 687-2910
LAURIE ANN GEE NP
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
ELIZABETH ZECH NP
Nurse Practitioner (Obstetrics & Gynecology)
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
KENNETH WALTER KAUFMANN II M.D.
Obstetrics & Gynecology
42 N SAINT JOSEPH AVE, SUITE 201
NILES, MI 49120
Berrien County (269) 687-0808
LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 100
NILES, MI 49120
Berrien County (269) 684-6696
DR. HELENE M JOHNSON MD
General Practice
42 N SAINT JOSEPH AVE, SUITE 200
NILES, MI 49120
Berrien County (269) 687-0808
DR. EDWARD DAVID LANIGAN M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
42 N SAINT JOSEPH AVE, SUITE 103
NILES, MI 49120
Berrien County (269) 683-8070
LAKELAND MEDICAL PRACTICES
Clinic/Center
42 N SAINT JOSEPH AVE, SUITE 101
NILES, MI 49120
Berrien County (269) 687-4673

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 1932493863. It was assigned to this organization in the NPPES registry on June 8, 2011. The provider is doing business as Lakeside Urology.

Where is Lakeland Medical Practices located?

Lakeland Medical Practices is located at 42 N Saint Joseph Ave Suite 200, Niles, MI 49120. The listed phone number is (269) 684-5447.

What is Lakeland Medical Practices's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Lakeland Medical Practices was last updated on July 13, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.