Organization
LANSING SURGICAL ASSOCIATES, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WAYNE JONES DO (PRESIDENT)
(517) 487-8255
Entity
Organization
Contact information
Practice address
2720 S WASHINGTON AVE, SUITE 300, LANSING, MI 48910-2873
(517) 487-8255
(517) 487-2059
Mailing address
2720 S WASHINGTON AVE, SUITE 300, LANSING, MI 48910-2873
(517) 487-8255
(517) 487-2059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MJ010550
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0253311744
BCBSM
MI
01
—
1020399
MCLAREN
MI
01
—
200000002185
PHYSICIANS HEALTH PLAN
MI
05
—
4908848
—
MI
01
—
5331174
BCBSM
MI
01
—
P00397821
MEDICARE RAILROAD
MI
Enumeration date
08/31/2006
Last updated
04/20/2010
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