Organization
MCLAREN GREATER LANSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE THOMPSON (CFO)
(517) 975-7555
Entity
Organization
Contact information
Practice address
2316 S CEDAR ST, SUITE 400, LANSING, MI 48910
(517) 702-4300
(517) 702-4301
Mailing address
401 W GREENLAWN AVE, LANSING, MI 48910-2819
(517) 975-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500C313830
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/05/2007
Last updated
08/02/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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