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Organization

FAMILY AND LIFESTYLE MEDICINE

Active
Other names
Lansing Family and Lifestyle Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY AZELTON MD, DIPABLM, MPA (MEDICAL DIRECTOR)
(517) 258-0855
Entity
Organization

Contact information

Practice address
4410 HOLT RD, HOLT, MI 48842-1673
(517) 258-0855
(517) 210-2202
Mailing address
4410 HOLT RD, HOLT, MI 48842-1673
(517) 258-0855
(517) 210-2202

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/23/2022
Last updated
03/23/2026
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