Provider Demographics
NPI:1417047366
Name:LAMING, CHRISTIE S (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:S
Last Name:LAMING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5294 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48450-8777
Mailing Address - Country:US
Mailing Address - Phone:810-359-5030
Mailing Address - Fax:810-359-5034
Practice Address - Street 1:5294 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MI
Practice Address - Zip Code:48450-8777
Practice Address - Country:US
Practice Address - Phone:810-359-5030
Practice Address - Fax:810-359-5034
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083893207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5189990Medicaid
MI1326489584OtherGROUP NPI
MI4301083893OtherMEDICAL LICENSE
1417047366OtherNPI
MI1326489584OtherGROUP NPI