Organization
BLUE CARE NETWORK OF MI
Active
Other names
Family Health Center of Blue Care Network
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK LANIER MD (MEDICAL DIRECTOR)
(517) 322-8007
Entity
Organization
Contact information
Practice address
1525 W LAKE LANSING RD, LANSING, MI 48823
(517) 664-4727
Mailing address
P O BOX 77000, DEPARTMENT 77251, DETROIT, MI 48277-0251
(517) 664-4727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301060832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110C360380
BCBS
MI
Enumeration date
06/27/2006
Last updated
09/25/2008
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