Leah Goedecke
Neuromusculoskeletal Medicine (NMM)
4660 S Hagadorn Rd Ste 500
East Lansing
, Michigan 48823-6804
Leah Goedecke
Neuromusculoskeletal Medicine (NMM)
4660 S Hagadorn Rd Ste 500
East Lansing
, Michigan 48823-6804
(517) 432-6144
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Leah Goedecke
- 4660 S Hagadorn Rd Ste 500
- East Lansing, MI
- Zip : 48823-6804
- Phone : (517) 432-6144
Second Address
- Leah Goedecke
- 4660 S Hagadorn Rd Ste 500
- East Lansing, MI
- Zip : 48823-6804
- Phone : (517) 432-6144
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5151014439APP20 | MI |
National Provider Identifier
| NPI | 1457974073 |
|---|---|
| Provider Name | Leah Goedecke |
| First Address | East Lansing, MI 48823-6804 |
| Second Address | East Lansing, MI 48823-6804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2020 |
| Last Update Date | 09/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.