Healthcare Provider Details

I. General information

NPI: 1831465871
Provider Name (Legal Business Name): LOS EQUIPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2012
Last Update Date: 08/01/2023
Certification Date: 08/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4305 FIVE OAKS DR
LANSING MI
48911-4214
US

IV. Provider business mailing address

4305 FIVE OAKS DR
LANSING MI
48911-4214
US

V. Phone/Fax

Practice location:
  • Phone: 517-699-2700
  • Fax: 517-708-8527
Mailing address:
  • Phone: 517-699-2700
  • Fax: 517-708-8527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberWS013096
License Number StateMI

VIII. Authorized Official

Name: DR. WILLIAM ANTHONY SCHIRO
Title or Position: OWNER
Credential: D.D.S.
Phone: 517-699-2700