Individual
IVY GODANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Mailing address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A22822
CA
Other
Enumeration date
05/21/2019
Last updated
08/20/2024
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