Healthcare Provider Details

I. General information

NPI: 1083008221
Provider Name (Legal Business Name): DONALD A LERIGHT DPM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 03/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46036 MICHIGAN AVE SUITE 286
CANTON MI
48188-2304
US

IV. Provider business mailing address

46036 MICHIGAN AVE SUITE286
CANTON MI
48188-2304
US

V. Phone/Fax

Practice location:
  • Phone: 734-890-1074
  • Fax:
Mailing address:
  • Phone: 734-890-1074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: DONALD A LERIGHT
Title or Position: OWNER
Credential: DPM
Phone: 734-890-1074