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Organization

MCLAREN GREATER LANSING

Active
Parent organization
MCLAREN GREATER LANSING
Other names
McLaren Greater Lansing Cardiothoracic & Vascular Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
MCLAREN GREATER LANSING
Authorized official
MR. KEVIN LANCIOTTI (CFO)
(517) 975-7555
Entity
Organization

Contact information

Practice address
405 W GREENLAWN AVE, SUITE 305, LANSING, MI 48910-2898
(517) 483-4780
(517) 483-7595
Mailing address
405 W GREENLAWN AVE, SUITE 305, LANSING, MI 48910-2898
(517) 483-4780
(517) 483-7595

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Enumeration date
10/25/2006
Last updated
01/24/2012
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