Healthcare Provider Details

I. General information

NPI: 1124131198
Provider Name (Legal Business Name): ARLENE ZOE ROMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 12/21/2025
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 W LAKE LANSING RD STE 104
EAST LANSING MI
48823-6301
US

IV. Provider business mailing address

808 W LAKE LANSING RD STE 104
EAST LANSING MI
48823-6301
US

V. Phone/Fax

Practice location:
  • Phone: 517-200-3955
  • Fax:
Mailing address:
  • Phone: 517-200-3955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME91100
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number4301051694
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: