Healthcare Provider Details

I. General information

NPI: 1477584688
Provider Name (Legal Business Name): LIFE CARE SLEEP AND HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 W SAGINAW HWY STE 2
LANSING MI
48917-1133
US

IV. Provider business mailing address

7200 W SAGINAW HWY STE 2
LANSING MI
48917-1133
US

V. Phone/Fax

Practice location:
  • Phone: 517-323-9624
  • Fax: 517-323-9634
Mailing address:
  • Phone: 517-323-9624
  • Fax: 517-323-9634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LORI GAUCKEL
Title or Position: CEO
Credential:
Phone: 517-323-9624