COUNTY OF INGHAM

NPI # 

Practice Address:

102 Mcpherson Ave

Lansing, MI, 48915-1760

Practice Phone:

517-755-1076

Practice Fax:

517-244-7174

License State:

MI

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X