NPI | 1477291102 |
---|---|
Doing Business As | LANSING FAMILY AND LIFESTYLE MEDICINE |
Entity Type | Organization |
Authorized Contact | KIMBERLY AZELTON Medical Director 517-258-0855 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-05-23 |
Last Update Date | 2022-05-23 |