Provider Demographics
NPI:1982656971
Name:LAYHE, ELIZABETH MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:MARIE
Last Name:LAYHE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 STABLER ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-3022
Mailing Address - Country:US
Mailing Address - Phone:517-272-1950
Mailing Address - Fax:
Practice Address - Street 1:2901 STABLER ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-3022
Practice Address - Country:US
Practice Address - Phone:517-272-1950
Practice Address - Fax:517-272-1961
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101008862207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIPDG2940OtherMEDICARE RAILROAD
MIE83500Medicare UPIN