COUNTY OF INGHAM

NPI # 

Practice Address:

815 N Fairview Ave

Lansing, MI, 48912-3129

Practice Phone:

517-244-8019

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X