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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICAH LISSY, MD

Active

MICAH LISSY, MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in EAST LANSING, Michigan. NPI 1154627370 is currently active in the NPPES registry. Verify at CMS.

Adult Reconstructive Orthopaedic Surgery · EAST LANSING, MI

Registration Details

NPI Number
1154627370
Provider Type
Individual
Gender
Male
NPI Issued
Feb 4, 2011 (15.478490972085 yrs)
Last Updated
Jul 26, 2022
Licenses
261158 (NY)
4301099989 (MI)

Practice Information

Address
4660 S HAGADORN RD STE 420
EAST LANSING, MI, 488235353
Browse MI providers · Browse ZIP 48823
Phone
5178846100
Fax
5178846233
Primary Specialty
Adult Reconstructive Orthopaedic Surgery
207XX0005X

Other Adult Reconstructive Orthopaedic Surgery Providers in EAST LANSING, MI

Name Credential NPI
DR. MICHAEL BRADLEY SHINGLES D.O. 1164466223
DR. DOUGLAS PAUL DIETZEL D.O. 1912934761
ANDREW JASON SCHORFHAAR DO 1356368435
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.