Organization
LANSING INSTITUTE OF BEHAVIORAL MEDICINE, PLLC
Active
Other names
Lifestance Health, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA DORRENE CONRAD (CREDENTIALING COORDINATOR)
(517) 882-3732
Entity
Organization
Contact information
Practice address
3475 BELLE CHASE WAY, LANSING, MI 48911-4252
(517) 882-3732
(517) 882-3633
Mailing address
3475 BELLE CHASE WAY, LANSING, MI 48911-4252
(517) 882-3732
(517) 882-3633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/16/2010
Last updated
12/09/2021
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