| Elan Lake Lansing | |
|
818 W Lake Lansing Rd East Lansing MI 48823-1308 | |
| (517) 333-9500 | |
| Not Available |
| Full Name | Elan Lake Lansing |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 818 W Lake Lansing Rd, East Lansing, Michigan |
| Authorized Official Name and Position | Mauricio Moeller (MBR) |
| Authorized Official Contact | 7342762541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elan Lake Lansing 818 W Lake Lansing Rd East Lansing MI 48823-1308 Ph: (517) 333-9500 | Elan Lake Lansing 818 W Lake Lansing Rd East Lansing MI 48823-1308 Ph: (517) 333-9500 |
| NPI Number | 1811482565 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 06/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811482565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 18235 (Michigan) | Primary |
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