Healthcare Provider Details

I. General information

NPI: 1417047366
Provider Name (Legal Business Name): CHRISTIE S LAMING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 10/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5294 MAIN ST
LEXINGTON MI
48450-8777
US

IV. Provider business mailing address

5294 MAIN ST
LEXINGTON MI
48450-8777
US

V. Phone/Fax

Practice location:
  • Phone: 810-359-5030
  • Fax: 810-359-5034
Mailing address:
  • Phone: 810-359-5030
  • Fax: 810-359-5034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301083893
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: