Provider Demographics
NPI:1285840637
Name:MOOKERJEE, LABONY (MD)
Entity Type:Individual
Prefix:
First Name:LABONY
Middle Name:
Last Name:MOOKERJEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LABANI
Other - Middle Name:
Other - Last Name:MUKHOPADHYAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6220 WHITEHILLS LAKE DR
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-9416
Mailing Address - Country:US
Mailing Address - Phone:517-664-2573
Mailing Address - Fax:
Practice Address - Street 1:317 E GRAND RIVER RD
Practice Address - Street 2:
Practice Address - City:LAINGSBURG
Practice Address - State:MI
Practice Address - Zip Code:48848-8742
Practice Address - Country:US
Practice Address - Phone:517-651-5018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2012-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301088439207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine