ELAN LAKE LANSING NPI 1811482565

NPI Information

  • NPI: 1811482565
  • Provider Name: ELAN LAKE LANSING
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 818 W LAKE LANSING RD
    EAST LANSING, MI
    ZIP 48823
  • Phone: (517) 333-9500

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NPI Details

ELAN LAKE LANSING is a dental clinic center in East Lansing, MI. ELAN LAKE LANSING NPI is 1811482565. The provider is registered as an organization entity type.

The provider's business location address is:

818 W LAKE LANSING RD
EAST LANSING, MI
ZIP 48823-308
Phone: (517) 333-9500

The provider's authorized official is Mauricio Moeller .
The authorized official title is Mbr and has the following contact phone number (734) 276-2541.

The enumeration date for this NPI number is 6/26/2018 and was last updated on 6/26/2018.

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
1261QD0000XClinic/CenterDental18235MICHIGANYes

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: 11/21/2025

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