Provider Demographics
NPI:1568643856
Name:LAPEER FAMILY HEALTH CENTER
Entity Type:Organization
Organization Name:LAPEER FAMILY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-627-9019
Mailing Address - Street 1:1365 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-3186
Mailing Address - Country:US
Mailing Address - Phone:248-551-7009
Mailing Address - Fax:
Practice Address - Street 1:1254 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1343
Practice Address - Country:US
Practice Address - Phone:810-627-9019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301067526207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty