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LANSING SURGERY CENTER NPI 1962479014


NPI Information

NPI: 1962479014
Provider Name: LANSING SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1707 LAKE LANSING RD
LANSING, MI
ZIP 48912
Phone: (517) 267-0033
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LANSING SURGERY CENTER is an ambulatory surgical clinic center in Lansing, MI. LANSING SURGERY CENTER NPI is 1962479014. 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) 267-0033
Fax: (517) 267-0430

The provider's authorized official is John Walling .
The authorized official title is Medical Director and has the following contact phone number (517) 267-0033.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 3/13/2008.


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
1261QA1903XClinic/CenterAmbulatory Surgical336816MICHIGANYes

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
140354OTHERMICHIGANBLUE CROSS BLUE SHIELD
20M26720MEDICARE PINMICHIGAN
30C37000OTHERMICHIGANBCBSM 2ND
4OM26720MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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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