Healthcare Provider Details

I. General information

NPI: 1205147873
Provider Name (Legal Business Name): JOSHUA P JUNE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2010
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4052 LEGACY PARK WAY STE 200
LANSING MI
48911
US

IV. Provider business mailing address

3394 E. JOLLY RD STE C
LANSING MI
48910
US

V. Phone/Fax

Practice location:
  • Phone: 517-272-9700
  • Fax: 517-272-9706
Mailing address:
  • Phone: 517-272-9700
  • Fax: 517-272-9706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101018709
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number5101018709
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: