Ms Laura Lucille Mccully, CNM | |
2200 Springport Rd, Jackson, MI 49202-1432 | |
(517) 784-9356 | |
(517) 780-9286 |
Full Name | Ms Laura Lucille Mccully |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 2200 Springport Rd, Jackson, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558368910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 4704201104 (Michigan) | Primary |
Entity Name | Advanced Gynecology Specialist Of Marshall Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376961672 PECOS PAC ID: 1557593712 Enrollment ID: O20140422002201 |
Mailing Address | Practice Location Address |
---|---|
Ms Laura Lucille Mccully, CNM 2298 Springport Rd, Ste B, Jackson, MI 49202-1475 Ph: (517) 784-3950 | Ms Laura Lucille Mccully, CNM 2200 Springport Rd, Jackson, MI 49202-1432 Ph: (517) 784-9356 |
Megan Marie Fisher, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 205 N East Ave, Jackson, MI 49201 Phone: 517-205-7836 | |
Kimberley Johnson-crisanti, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1100 E Michigan Ave Ste 202, 205 North East Ave., Jackson, MI 49201 Phone: 517-788-4800 Fax: 517-841-6917 |