Organization
LANSING INSTITUTE OF UROLOGY , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD J ZUCKERMAN M.D. (CEO)
(517) 324-3700
Entity
Organization
Contact information
Practice address
1625 RAMBLEWOOD DR, EAST LANSING, MI 48823-6367
(517) 324-3700
(517) 324-4589
Mailing address
3725 BEECH TREE LN, OKEMOS, MI 48864-3871
(517) 349-9449
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340C376010
BLUE CROSS BLUE SHIELD
—
01
—
CM8480
RAILROAD MEDICARE
—
Enumeration date
10/04/2006
Last updated
10/30/2008
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