Provider Demographics
NPI:1619381050
Name:LANSING REHABILITATION SERVICES, P.C.
Entity Type:Organization
Organization Name:LANSING REHABILITATION SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHINMAY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINZUVADIA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:517-483-2734
Mailing Address - Street 1:1568 LAKE LANSING RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3707
Mailing Address - Country:US
Mailing Address - Phone:517-483-2734
Mailing Address - Fax:517-483-2840
Practice Address - Street 1:1568 LAKE LANSING RD
Practice Address - Street 2:SUITE B
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3707
Practice Address - Country:US
Practice Address - Phone:517-483-2734
Practice Address - Fax:517-483-2840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-13
Last Update Date:2014-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy