John Lester Goudreau in East Lansing - Neurology
John Lester Goudreau - NPI 1477563096
John Lester Goudreau is a Neurology in East Lansing, Michigan. John Lester Goudreau practices all healthcare services and medical treatments related to Neurology. The NPI Number for John Lester Goudreau is 1477563096. The last update date is 2016-08-29.
John Lester Goudreau's current location address is 804 Service Rd # A201, East Lansing, Michigan. You can contact this provider via phone number 5178842976 and fax number 5174323928. The mailing address for John Lester Goudreau is 804 Service Rd # A201, East Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Lester Goudreau |
|---|---|
| Address | 804 Service Rd # A201, East Lansing, Michigan |
| Phone Number | 5178842976 |
| Fax Number | 5174323928 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1477563096 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2016-08-29 |
Provider Mailing Address Detail
| Address | 804 Service Rd # A201 |
|---|---|
| City | East Lansing |
| State | Michigan (MI) |
| Post Code | 488247015 |
| Phone Number | 5178842976 |
| Fax Number | 5174323928 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 5101012751 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477563096 | MI | -- | |
| 4318494 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Lester Goudreau by the Centers for Medicare & Medicaid Services?
The John Lester Goudreau has been assigned the NPI (National Provider Identifier) 1477563096 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where John Lester Goudreau is physically located?
The John Lester Goudreau is situated at the following address: 804 Service Rd # A201, East Lansing, MI 488247015.
Could you please share the complete physical location address where John Lester Goudreau's facilities are situated?
The facilities of John Lester Goudreau are physically located at the following address: 804 Service Rd # A201, East Lansing, MI, 488247015.
On what date did the John Lester Goudreau receive the assignment of its 1477563096 from the Centers for Medicare & Medicaid Services?
The John Lester Goudreau was issued its 1477563096 by the Centers for Medicare & Medicaid Services on 2006-08-08.
As of what date was the information pertaining to John Lester Goudreau, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Lester Goudreau, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-08-29.