LAKE LANSING ASC PARTNERS LLC NPI 1790886372

NPI Information

NPI: 1790886372
Provider Name: LAKE LANSING ASC PARTNERS LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1707 LAKE LANSING RD
LANSING, MI
ZIP 48912
Phone: (517) 708-3333
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LAKE LANSING ASC PARTNERS LLC is an ambulatory surgical clinic center in Lansing, MI. LAKE LANSING ASC PARTNERS LLC NPI is 1790886372. The provider is registered as an organization entity type.

The provider's business location address is:

1707 LAKE LANSING RD
LANSING, MI
ZIP 48912-742
Phone: (517) 708-3333
Fax: (517) 267-0430

The provider's authorized official is Jenetha D Moran .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3893.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 3/22/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	336816	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	40023	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD MI
2	P00683991	OTHER	MICHIGAN	RAILROAD MEDICARE
3	2261878	MEDICAID	MICHIGAN

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

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