Lissy, Micah
Lissy, Micah is an individual health care provider with primary practice located at 4660 S Hagadorn Rd Ste 420 , East Lansing MI 48823-5353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lissy, Micah can be contacted via phone (517) 884-6100.Contact Information
Primary practice address
4660 S Hagadorn Rd Ste 420
East Lansing MI 48823-5353
Phone: (517) 884-6100
Fax: (517) 884-6233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 261158 | New York |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 4301099989 | Michigan |
Profile Details
| NPI number | 1154627370 |
|---|---|
| LBN Legal business name | Lissy, Micah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2011 |
| Last updated | Jul 26th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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