Healthcare Provider Details

I. General information

NPI: 1306238241
Provider Name (Legal Business Name): LANSING MEDICAL P.L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2015
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 E MOUNT HOPE AVE
LANSING MI
48910-3280
US

IV. Provider business mailing address

930 E MOUNT HOPE AVE
LANSING MI
48910-3280
US

V. Phone/Fax

Practice location:
  • Phone: 517-253-7764
  • Fax: 517-253-7783
Mailing address:
  • Phone: 517-253-7764
  • Fax: 517-253-7783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. REMONA LYSA BROWN
Title or Position: MANAGER
Credential:
Phone: 517-253-7764