LSD CENTER OF EXCELLENCE LLC
NPI 1649160375
Medical Genetics - Clinical Genetics (M.D.) in East Lansing, MI
- Organization
- Medical Genetics
- Clinical Genetics (M.D.)
About LSD CENTER OF EXCELLENCE LLC
This page provides the complete NPI Profile along with additional information for Lsd Center Of Excellence Llc, a provider established in East Lansing, Michigan operating as a Medical Genetics, focusing in clinical genetics (m.d.) . The healthcare provider is registered in the NPI registry with number 1649160375 assigned on July 2025. The practitioner's primary taxonomy code is 207SG0201X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Kimberly S Agim Anp-bc (Nurse Practitioner)
- NPI
- 1649160375 Verify this NPI
- Provider Name
- LSD CENTER OF EXCELLENCE LLC
- Entity Type
- Organization
- Location Address
- 200 WOODLAND PASS STE D EAST LANSING, MI 48823
- Location Phone
- (616) 540-9365
- Mailing Address
- 3024 BONITA DR SE GRAND RAPIDS, MI 49508
- Mailing Phone
- (616) 540-9365
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-04-2025
- Last Update Date
- 07-04-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medical Genetics Clinical Genetics (M.D.)
- Taxonomy Code
- 207SG0201X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649160375, enumerated as an "organization" on July 04, 2025.
The provider is located at 200 WOODLAND PASS STE D EAST LANSING, MI 48823 and the phone number is (616) 540-9365.
Medical Genetics with taxonomy code 207SG0201X and a focus in Clinical Genetics (M.D.).
