Provider Demographics
NPI:1154305654
Name:DRAYER, STEVEN LLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LLOYD
Last Name:DRAYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 LAKE LANSING RD
Mailing Address - Street 2:STE B-1
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3753
Mailing Address - Country:US
Mailing Address - Phone:517-371-3407
Mailing Address - Fax:517-371-1366
Practice Address - Street 1:1515 LAKE LANSING RD
Practice Address - Street 2:STE B-1
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3753
Practice Address - Country:US
Practice Address - Phone:517-371-3407
Practice Address - Fax:517-371-1366
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI207X00000X207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2733976Medicaid
MI0331782Medicare ID - Type Unspecified
MI2733976Medicaid