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Organization
LANSING PAIN AND REHAB PLLC
Active
Organization
LANSING PAIN AND REHAB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEE MATFUS M.D. (OWNER)
(201) 294-1010
Entity
Organization
Contact information
Practice address
1717 E MICHIGAN AVE, SUITE A, LANSING, MI 48912-2840
(517) 253-8360
Mailing address
1717 E MICHIGAN AVE, SUITE A, LANSING, MI 48912-2840
(517) 253-8360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301009983
MI
207R00000X
Internal Medicine Physician
4301105023
MI
225100000X
Physical Therapist
Primary
5501009083
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00409105
—
NY
Enumeration date
06/13/2014
Last updated
06/13/2014
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