Healthcare Provider Details

I. General information

NPI: 1801013701
Provider Name (Legal Business Name): VASCULAR ACCESS SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 02/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6910 S CEDAR ST SUITE 2
LANSING MI
48911-6912
US

IV. Provider business mailing address

6910 S CEDAR ST SUITE 2
LANSING MI
48911-6912
US

V. Phone/Fax

Practice location:
  • Phone: 517-694-0900
  • Fax: 517-694-0909
Mailing address:
  • Phone: 517-694-0900
  • Fax: 517-694-0909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: LAUREEN K. BALL
Title or Position: MEMBER
Credential: CFNP
Phone: 517-694-0900