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Contact Information

GENESIS GROUP PRACTICE PLLC
1515 LAKE LANSING RD
SUITE A
LANSING, MI48912-3753
 Phone: 517-487-0128
 Fax: 517-487-2639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Adolescent Medicine

207RA0000X 11 Physician/Internal Medicine
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for GENESIS GROUP PRACTICE PLLC · (Female)

NPI Number 1245387935
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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