Healthcare Provider Details

I. General information

NPI: 1134715154
Provider Name (Legal Business Name): LANCE CURTIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 W LAKE LANSING RD STE 500
EAST LANSING MI
48823-1578
US

IV. Provider business mailing address

3125 STATEN AVE APT 12
LANSING MI
48910-6704
US

V. Phone/Fax

Practice location:
  • Phone: 517-657-3533
  • Fax:
Mailing address:
  • Phone: 517-887-0226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851122445
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: