Healthcare Provider Details

I. General information

NPI: 1861378465
Provider Name (Legal Business Name): TIFFINI LYNN ESCH FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 S PENNSYLVANIA AVE STE 101
LANSING MI
48912-1658
US

IV. Provider business mailing address

1115 S PENNSYLVANIA AVE STE 101
LANSING MI
48912-1658
US

V. Phone/Fax

Practice location:
  • Phone: 517-887-5922
  • Fax: 517-887-5982
Mailing address:
  • Phone: 517-887-5922
  • Fax: 517-887-5982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704271456
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: