Healthcare Provider Details

I. General information

NPI: 1588877419
Provider Name (Legal Business Name): DR. KARA J HOISINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 LAKE LANSING RD SUITE 202
LANSING MI
48912-3756
US

IV. Provider business mailing address

1540 LAKE LANSING RD SUITE 202
LANSING MI
48912-3756
US

V. Phone/Fax

Practice location:
  • Phone: 517-913-3820
  • Fax: 517-913-3821
Mailing address:
  • Phone: 517-913-3820
  • Fax: 517-913-3821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number510016233
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number5101016233
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: