Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Legacy Physician Group, PC

Organization Specialist · NPI 1801800719

Legacy Physician Group, PC is a Specialist in Lansing, Michigan. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1540 Lake Lansing Rd 102
Lansing, MI 48912-3756
Phone: (517) 913-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1801800719
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Fedewa — President · (517) 913-6711
NPI enumeratedJuly 28, 2006
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 5, 2025
Mailing address1540 Lake Lansing Rd Ste 203, Lansing, MI 48912-3757

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