COUNTY OF INGHAM

NPI # 

Practice Address:

1115 S Pennsylvania Ave

Lansing, MI, 48912-1669

Practice Phone:

517-702-3500

Practice Fax:

517-484-5169

License State:

MI

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X