Individual
LEILA GHASEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 W LAKE LANSING RD STE 300, EAST LANSING, MI 48823-8661
(517) 515-1572
Mailing address
1724 MELROSE AVE, EAST LANSING, MI 48823-3728
(517) 515-1572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704284961
MI
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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