Doctor Name: | DR. LELAND ROBERT MCELMURRY |
NPI Number: | 1659339570 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | LM030787 |
Business Practice Address: | 1601 E Michigan Ave Lansing, MI - 48912 |
Business Phone Number: | 5174870870 |
Business Fax Number: | 5174879425 |
Mailing Address: | 1601 E Michigan Ave, LANSING |
State: | MI |
Postal Code: | 48912 |
Phone Number: | 5174870870 |
Fax Number: | 5174879425 |
NPI Enumeration Date: | 05/02/2006 |
NPI Last Update Date: | 11/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | LM030787 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |