Family and Lifestyle Medicine
NPI #1477291102 in Grand Ledge, Michigan
Provider Information
- NPI Number
- 1477291102
- Entity Type
- Organization
- Organization Name
- Family and Lifestyle Medicine
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 23, 2022
- Last Updated
- May 23, 2022
Practice Location
- Address
- 12911 KELLY LN
- City
- Grand Ledge
- State
- Michigan
- ZIP Code
- 48837-8926
- Phone
- (989) 493-9771
Authorized Official
- Name
- DR. KIMBERLY AZELTON, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (517) 258-0855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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