Organization
CITY OF LANSING
Active
Other names
CITY OF LANSING FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
LOY G LACK (EMS CAPTAIN)
(517) 483-5155
Entity
Organization
Contact information
Practice address
120 E SHIAWASSEE ST, LANSING, MI 48933-1219
(517) 483-5155
Mailing address
PO BOX 674091, DETROIT, MI 48267-0001
(517) 483-5155
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
331003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000000497
PHP
MI
05
—
2829235
—
MI
01
—
590009545
RAILROAD MEDICARE
—
01
—
590C30149
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/05/2006
Last updated
05/06/2026
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