# MCLAREN GREATER LANSING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518005032
- **Authorized official:** MR. DALE THOMPSON (CFO)
- **Authorized official phone:** (517) 975-7555

## Contact information

- **Practice address:** 2316 S CEDAR ST, SUITE 400, LANSING, MI 48910
- **Practice address phone:** (517) 702-4300
- **Practice address fax:** (517) 702-4301
- **Mailing address:** 401 W GREENLAWN AVE, LANSING, MI 48910-2819
- **Mailing address phone:** (517) 975-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 500C313830 | BLUE CROSS BLUE SHIELD | MI |