Provider Demographics
NPI:1962943902
Name:LANSING MEDICAL SUPPLIES
Entity type:Organization
Organization Name:LANSING MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MUDASSIR
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-481-4459
Mailing Address - Street 1:3105 S MARTIN LUTHER KING JR BLVD # 320
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-2939
Mailing Address - Country:US
Mailing Address - Phone:517-481-4459
Mailing Address - Fax:517-301-9057
Practice Address - Street 1:3105 S MARTIN LUTHER KING JR BLVD # 320
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-2939
Practice Address - Country:US
Practice Address - Phone:517-481-4459
Practice Address - Fax:517-301-9057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies