Healthcare Provider Details

I. General information

NPI: 1730550138
Provider Name (Legal Business Name): LANSING PODIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2015
Last Update Date: 11/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 WATERTOWER PL STE 300
EAST LANSING MI
48823-8048
US

IV. Provider business mailing address

1500 WATERTOWER PL STE 300
EAST LANSING MI
48823-8048
US

V. Phone/Fax

Practice location:
  • Phone: 517-351-7640
  • Fax: 517-351-9462
Mailing address:
  • Phone: 517-351-7640
  • Fax: 517-351-9462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: KATE A DROSTE
Title or Position: OFFICE MANAGER
Credential:
Phone: 517-351-7640