Individual
LEANNE HARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1540 LAKE LANSING RD, SUITE 201, LANSING, MI 48912-3756
(517) 913-3900
(517) 913-3901
Mailing address
1540 LAKE LANSING RD, SUITE 201, LANSING, MI 48912-3756
(517) 913-3900
(517) 913-3901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704131325
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N55170018
MEDICARE ADVANTAGE
MI
01
—
1056458
MCLAREN HEALTH PLAN-COMMERCIAL
MI
01
—
200000022319
PHP FAMILYCARE
MI
01
—
5008708110
BLUE CROSS BLUE SHIELD
MI
01
—
9572480
AETNA
MI
01
—
P00801395
RAILROAD MEDICARE
MI
Enumeration date
04/14/2009
Last updated
07/19/2010
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