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Organization

PEDIATRIC CARE OF LANSING PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOMING YIAN M.D. (PRESIDENT)
(517) 487-4480
Entity
Organization

Contact information

Practice address
2909 E GRAND RIV, SUITE 109, LANSING, MI 48912-4300
(517) 487-4480
(517) 487-0193
Mailing address
2909 E GRAND RIV, SUITE 109, LANSING, MI 48912-4300
(517) 487-4480
(517) 487-0193

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
HY031794
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1064361
MI
05
3182220
MI
05
4233548
MI
05
5182238
MI
Enumeration date
06/20/2006
Last updated
01/05/2012
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