Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 040217 | MI |
NPI | 1073513917 |
---|---|
Provider Name | Dr. Carol R Rapson |
First Address | East Lansing, MI 48823-6396 |
Second Address | East Lansing, MI 48823-6396 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 11/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1831874 | (05) | MI |
A74426 | (02) | MI |