DR. CLYDE R. FLORY M.D. NPI 1861472797

NPI Information

NPI: 1861472797
Provider Name: DR. CLYDE R. FLORY, M.D.
Classification: Allergy & Immunology - 207KI0005X
Entity Type: Individual

Specialization: Clinical & Laboratory Immunology

PECOS Registration: Yes

Address:
4169 LEGACY PKWY
LANSING, MI
ZIP 48911
Phone: (517) 394-6500
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DR. Clyde R. Flory, M.D. is a clinical and laboratory immunology allergy immunology in Lansing, MI. DR. Clyde R. Flory, M.D. NPI is 1861472797. 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:

4169 LEGACY PKWY
LANSING, MI
ZIP 48911-258
Phone: (517) 394-6500
Fax: (517) 393-4202

The NPI 1861472797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 7/8/2007.

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	207KI0005X	Allergy & Immunology	Clinical & Laboratory Immunology	CF024139	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
1	B44442	MEDICARE UPIN	MICHIGAN
2	1268880	MEDICAID	MICHIGAN
3	0332777	MEDICARE ID-TYPE UNSPECIFIED	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: 11/14/2023

NPI Synchronization or Removal

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