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EDWARD WILLIAM LEAN MD NPI 1699757831


NPI Information

NPI: 1699757831
Provider Name: EDWARD WILLIAM LEAN, MD
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
535 S BURDICK ST
SUITE 245
KALAMAZOO, MI
ZIP 49007
Phone: (269) 341-8822
Get Directions

Edward William Lean, MD is a geriatric medicine family medicine in Kalamazoo, MI. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Edward William Lean, MD NPI is 1699757831. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

535 S BURDICK ST
SUITE 245
KALAMAZOO, MI
ZIP 49007-294
Phone: (269) 341-8822

The enumeration date for this NPI number is 11/15/2005 and was last updated on 3/1/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine4301028347MICHIGANNo
2207QG0300XFamily MedicineGeriatric Medicine4301028347MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10H06012019MEDICARE PINMICHIGAN
2B43741MEDICARE UPIN
3105177309MEDICAIDMICHIGAN
4C97618359MEDICARE PINMICHIGAN
51699757831MEDICAIDMICHIGAN
61417961137OTHERMICHIGANBCBSM - BMH
7700H060020OTHERMICHIGANBCBSM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.