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General NPI Number Information
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NPI Number | 1790886372
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Entity Type | Organization
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Legal Business Name | LAKE LANSING ASC PARTNERS LLC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1707 LAKE LANSING RD
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City | LANSING
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State | MI
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Zip | 48912-3742
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Country | US
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Telephone | 517-708-3333
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Fax | 517-267-0430
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Provider Business Mailing Address
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Address Line | 1707 LAKE LANSING RD
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City | LANSING
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State | MI
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Zip | 48912-3742
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Country | US
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Telephone | 517-708-3333
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Fax | 517-267-0430
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | JENNIFER MCDONALD
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Credential |
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Telephone | 517-252-8698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 336816
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License Number State | MI
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