Lisa Edith Lavelanet, MD

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

4301508988 Issued in MI

Practice address

1500 E Medical Center Drive
CW 8-612, SPC 4254
Ann Arbor, MI 48109-4254

Phone

(734) 763-4109

NPI assigned

Apr 10, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1508485566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DRIVE",
            "address_2": "CW 8-612, SPC 4254",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094254",
            "telephone_number": "734-763-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DRIVE",
            "address_2": "CW 8-612, SPC 4254",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094254",
            "telephone_number": "734-763-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELANET",
        "first_name": "LISA",
        "middle_name": "EDITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MI",
            "license": "4301508988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Lucas Lauwagie
• Matthew J Laux, PAC
• Cherish Lavalley
• Lisa Lavan, LLMSW
• Nichole Kathleen Lavanway, MD
• Naomi Tricot Laventhal, MD
• Isabella Lavorata, LLMSW
• Nurah Omobola Lawal, MD
• Jamie Lawler, PHD
• Lauren Lawler, PT, DPT, MT-BC

• Neonatal-Perinatal Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Neonatal-Perinatal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.