Doctor'S Approach Dermatology & Laser Center, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301058827 Issued in MI

Legal business name

DOCTOR'S APPROACH DERMATOLOGY & LASER CENTER, PC

Practice address

2900 Hannah Blvd
Suite 114
East Lansing, MI 48823-5384

Phone

(517) 364-8170

Fax

(517) 332-1696

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marcy Louisa Street, M.D.

Title

President

Phone

(517) 364-8170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1851588099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 HANNAH BLVD",
            "address_2": "SUITE 114",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235384",
            "telephone_number": "517-364-8170",
            "fax_number": "517-332-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 HANNAH BLVD",
            "address_2": "SUITE 114",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235384",
            "telephone_number": "517-364-8170",
            "fax_number": "517-332-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR'S APPROACH DERMATOLOGY & LASER CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "MARCY",
        "authorized_official_middle_name": "LOUISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-364-8170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301058827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.