Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeland Medical Practices

Organization Urology Physician · NPI 1932493863

Lakeland Medical Practices is an Urology Physician in Niles, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

42 N Saint Joseph Ave Ste 200
Niles, MI 49120-2208
Phone: (269) 684-5447
Fax: (269) 684-0256
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301036136 (MI)

Record details

NPI number1932493863
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jancie Crocker — Director, Practice Operations · (268) 687-1152
Other names Lakeside Urology
NPI enumeratedJune 8, 2011
Last updated in NPPESJuly 13, 2012
Mailing address6416 Deans Hill Rd, Berrien Center, MI 49102-9750