| Lapeer Regional Medical Center - Psy | |
|
1375 N Main St Lapeer MI 48446-1350 | |
| (810) 667-5500 | |
| Not Available |
| Full Name | Lapeer Regional Medical Center - Psy |
|---|---|
| Speciality | Psychologist |
| Location | 1375 N Main St, Lapeer, Michigan |
| Authorized Official Name and Position | Fred Korte (VP/CFO) |
| Authorized Official Contact | 8103422000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lapeer Regional Medical Center - Psy 1375 N Main St Lapeer MI 48446-1350 Ph: () - | Lapeer Regional Medical Center - Psy 1375 N Main St Lapeer MI 48446-1350 Ph: (810) 667-5500 |
| NPI Number | 1508905910 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 06/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508905910 | NPI | - | NPPES |
| 382988086 | Other | MI | TAX ID |
| 680D410720 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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