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CARLA FORMOSO PICO MD
NPI 1104563022
Obstetrics & Gynecology in Lansing, MI

Active since May 13, 2022
1215 E MICHIGAN AVE, LANSING, MI 48912(517) 364-1000 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carla Formoso Pico Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLA FORMOSO PICO MD (NPI 1104563022) is an individual obstetrics & gynecology provider in Lansing, Michigan, licensed in Michigan (4351049592) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1104563022
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCARLA FORMOSO PICOCredential: MD
Location Address1215 E MICHIGAN AVELansing, MI 48912-1811
Mailing Address1215 E Michigan AveLansing, MI 48912-1811
Phone(517) 364-1000
Sole ProprietorYes
Enumeration DateMay 13, 2022
NPPES CertifiedMay 13, 2022
✔ NPI 1104563022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4351049592
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1215 E MICHIGAN AVE, Lansing, MI 48912
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL FRANCIS BOUCHARD D.O.
Family Medicine
1215 E MICHIGAN AVE, OSTEOPATHIC INTERNSHIP SPARROW HOSPITAL
LANSING, MI 48912
Ingham County (231) 955-3360
DR. JESSICA FROST MD
Obstetrics & Gynecology
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5610
MR. GARRETT SMIGELSKI PA-C
Physician Assistant
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-3380
DR. AMY RENEE DRABANT DO
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
DR. EVAN DAVID TYSON BRUCE MD
Student in an Organized Health Care Education/Training Program
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-1000
JANA HAIDAR AHMAD MD
Family Medicine
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-5710
MR. ANDREW SIDNEY COOPER CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789
MS. KARI LYN FORRO CRNA
Nurse Anesthetist, Certified Registered
1215 E MICHIGAN AVE
LANSING, MI 48912
Ingham County (517) 364-2789

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carla Formoso Pico's NPI number?

The NPI number for Carla Formoso Pico is 1104563022. It was assigned to this individual provider in the NPPES registry on May 13, 2022.

Where is Carla Formoso Pico located?

Carla Formoso Pico practices at 1215 E Michigan Ave, Lansing, MI 48912. The listed phone number is (517) 364-1000.

What is Carla Formoso Pico's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Carla Formoso Pico was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.