Organization
LAKE LANSING ASC PARTNERS LLC
Active
Other names
Lansing Surgical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MCDONALD (BUSINESS MANAGER)
(517) 252-8698
Entity
Organization
Contact information
Practice address
1707 LAKE LANSING RD, LANSING, MI 48912-3742
(517) 708-3333
(517) 267-0430
Mailing address
1707 LAKE LANSING RD, LANSING, MI 48912-3742
(517) 708-3333
(517) 267-0430
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
336816
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2261878
—
MI
01
—
40023
BLUE CROSS BLUE SHIELD MI
MI
01
—
P00683991
RAILROAD MEDICARE
MI
Enumeration date
09/26/2006
Last updated
11/15/2024
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