Organization Name: | LANSING FAMILY PHYSICIANS PC |
NPI Number: | 1023202454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN MORTON EGGER (OWNER) |
Mailing Address: | 4202 Collins Rd Suite 115 Lansing |
State: | MI US |
Postal Code: | 489105894 |
Phone Number: | 5174844520 |
Fax Number: | 5174843930 |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301042365 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |