Organization
LANSING ORTHOPEDIC PC
Active
Organization
LANSING ORTHOPEDIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SUE RIEVER (OFFICE MANAGER)
(517) 364-0120
Entity
Organization
Contact information
Practice address
3370 E JOLLY RD, LANSING, MI 48910
(517) 487-3717
(517) 492-1284
Mailing address
3370 E JOLLY RD, LANSING, MI 48910-8552
(517) 487-3717
(517) 492-1284
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4853350100
BCBS OF MICHIGAN
MI
Enumeration date
06/28/2006
Last updated
12/26/2013
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