Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. OCTAVIA MANETTA CANNON, D.O.
ActiveDR. OCTAVIA MANETTA CANNON, D.O. is a Obstetrics & Gynecology healthcare provider located in EAST LANSING, Michigan. NPI 1497734701 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · EAST LANSING, MI
Registration Details
- NPI Number
- 1497734701
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 13, 2006 (20.631322965851 yrs)
- Last Updated
- Sep 2, 2021
- Licenses
-
9900020 (NC)99-00020 (NC)5101012864 (MI)
Practice Information
- Address
-
1560 TURF LNEAST LANSING, MI, 488236392Browse MI providers · Browse ZIP 48823
- Phone
- 5174843000
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- Obstetrics & Gynecology
Other Obstetrics & Gynecology Providers in EAST LANSING, MI
| Name | Credential | NPI |
|---|---|---|
| LAKEEYA K TUCKER | DO | 1902873151 |
| MAUDE SCHRODER GUERIN | MD | 1992772131 |
| SHARON S KELLEY | MD | 1295703197 |
| STEPHANIE I FLEMING | MD | 1760450597 |
| DR. KEVIN M CAZAN-LONDON | M.D | 1831136779 |
| SARA CRAMTON | MD | 1033324702 |
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.