NPI 1649160375

Lsd Center of Excellence LLC

Organisation Clinical Genetics (M.D.) Physician East Lansing, MI

Practice location

Address: 200 Woodland Pass STE D, East Lansing, MI 48823-2000
Phone: (616) 540-9365
Mailing address: 3024 Bonita Dr SE, Grand Rapids, MI 49508-1424

Authorised official

Name: Kimberly S Agim
Title: Nurse Practitioner
Phone: (616) 540-9365

Registered specialties

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X

Other Medical Genetics providers in Michigan →

Registry record

NPI: 1649160375
Entity type: Organization
NPI issued: 4 Jul 2025
Record last updated: 4 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.