Organization
LIFE CARE SLEEP AND HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI GAUCKEL (CEO)
(517) 323-9624
Entity
Organization
Contact information
Practice address
7200 W SAGINAW HWY STE 2, LANSING, MI 48917-1133
(517) 323-9624
(517) 323-9634
Mailing address
7200 W SAGINAW HWY STE 2, LANSING, MI 48917-1133
(517) 323-9624
(517) 323-9634
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104698160
—
MI
05
—
1047121833
—
MI
05
—
104717621
—
MI
01
—
290B310830
BLUE CROSS AND BLUE SHIEL
MI
Enumeration date
07/05/2006
Last updated
08/13/2008
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