NPI 1104563022

Carla Formoso Pico, MD

Practitioner Obstetrics & Gynecology Physician Lansing, MI

Practice location

Address: 1215 E Michigan Ave, Lansing, MI 48912-1811
Phone: (517) 364-1000

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 4351049592 (MI)

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Registry record

NPI: 1104563022
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 May 2022
Record last updated: 13 May 2022

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.