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Lsd Center of Excellence LLC — NPI 1649160375, East Lansing, MI | NPI Central

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NPI 1649160375

OrganizationActive

Lsd Center of Excellence LLC

NPI 1649160375 · Clinical Genetics (M.D.) Physician · East Lansing, MI

Provider details

NPI number: 1649160375
Entity type: Organization
Primary specialty: Clinical Genetics (M.D.) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Kimberly Agim, Nurse Practitioner(616) 540-9365

Specialties & taxonomies

Clinical Genetics (M.D.) PhysicianPrimary207SG0201X
Allopathic & Osteopathic Physicians

Practice location

200 Woodland Pass Ste D

East Lansing, MI 48823-2000

Phone: (616) 540-9365

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

3024 Bonita Dr Se

Grand Rapids, MI 49508-1424

Other names (DBA / former)

Doing business as: Lsd Center

Registry dates

Enumerated: 2025-07-04
Last updated: 2025-07-04
Certified: 2025-07-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.