| Hagan Rodriguez Periodontics & Implants | |
|
335 W Lake Lansing Rd Ste 100 East Lansing MI 48823-8486 | |
| (517) 336-9880 | |
| (517) 336-9881 |
| Full Name | Hagan Rodriguez Periodontics & Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 335 W Lake Lansing Rd Ste 100, East Lansing, Michigan |
| Authorized Official Name and Position | Lisa Lynn Vermillion (OFFICE MANAGER) |
| Authorized Official Contact | 5173369880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hagan Rodriguez Periodontics & Implants 335 W Lake Lansing Rd Ste 100 East Lansing MI 48823-8486 Ph: (517) 336-9880 | Hagan Rodriguez Periodontics & Implants 335 W Lake Lansing Rd Ste 100 East Lansing MI 48823-8486 Ph: (517) 336-9880 |
| NPI Number | 1093872525 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 01/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093872525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 17100 (Michigan) | Primary |
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