Search › Michigan › 207XX0005X

Micah Lissy, MD

NPI 1154627370 · on the registry since 2011

Practice

Address
4660 S Hagadorn Rd Ste 420
East Lansing, MI 48823
Phone
(517) 884-6100
Fax
(517) 884-6233
Organisation at this address
Dpt Holdings Llc
Msu Health Care Inc
Msu Health Care Inc
Msu Health Care Inc
Msu Health Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
141

Registry record

Primary taxonomy
207XX0005X
207XX0005X
Also registered as
207XX0005X
Licence states on file
NY, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan