Healthcare Provider Details

I. General information

NPI: 1962943902
Provider Name (Legal Business Name): LANSING MEDICAL SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 S MARTIN LUTHER KING JR BLVD # 320
LANSING MI
48910-2939
US

IV. Provider business mailing address

3105 S MARTIN LUTHER KING JR BLVD # 320
LANSING MI
48910-2939
US

V. Phone/Fax

Practice location:
  • Phone: 517-481-4459
  • Fax: 517-301-9057
Mailing address:
  • Phone: 517-481-4459
  • Fax: 517-301-9057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MUDASSIR RASHEED
Title or Position: ADMINISTRATOR
Credential:
Phone: 517-481-4459