| Lansing Mdvip | |
|
1568 Lake Lansing Rd Lansing MI 48912-3707 | |
| (517) 913-3980 | |
| (517) 318-6115 |
| Full Name | Lansing Mdvip |
|---|---|
| Speciality | Family Medicine |
| Location | 1568 Lake Lansing Rd, Lansing, Michigan |
| Authorized Official Name and Position | Arthur J Ronan (PHYSICIAN / OWNER) |
| Authorized Official Contact | 5176147538 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lansing Mdvip 1568 Lake Lansing Rd Lansing MI 48912-3707 Ph: (517) 913-3980 | Lansing Mdvip 1568 Lake Lansing Rd Lansing MI 48912-3707 Ph: (517) 913-3980 |
| NPI Number | 1174125181 |
|---|---|
| Provider Enumeration Date | 11/13/2020 |
| Last Update Date | 11/13/2020 |
| Medicare PECOS PAC ID | 1850704594 |
|---|---|
| Medicare Enrollment ID | O20210119001979 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174125181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Arthur J Ronan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346283074 PECOS PAC ID: 7719039627 Enrollment ID: I20090723000076 |
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