Lansing Area Aids Network | |
913 W Holmes Rd Ste 115 Lansing MI 48910-0437 | |
(517) 394-3719 | |
Not Available |
Full Name | Lansing Area Aids Network |
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Speciality | Social Worker |
Location | 913 W Holmes Rd Ste 115, Lansing, Michigan |
Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
Authorized Official Contact | 5176769797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lansing Area Aids Network Po Box 10 Mason MI 48854-0010 Ph: () - | Lansing Area Aids Network 913 W Holmes Rd Ste 115 Lansing MI 48910-0437 Ph: (517) 394-3719 |
NPI Number | 1083329551 |
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Provider Enumeration Date | 01/19/2023 |
Last Update Date | 01/19/2023 |
Certification Date | 01/19/2023 |
Medicare PECOS PAC ID | 0446623789 |
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Medicare Enrollment ID | O20230307001224 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083329551 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Jennifer Julia Schwartz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386072536 PECOS PAC ID: 9335440957 Enrollment ID: I20151223000893 |
Provider Name | Daniel Burns |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235786344 PECOS PAC ID: 1153756689 Enrollment ID: I20200110001250 |
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