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

Lsd Center of Excellence LLC

Organization Clinical Genetics (M.D.) Physician · NPI 1649160375

Lsd Center of Excellence LLC is a Clinical Genetics (M.D.) Physician in East Lansing, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Woodland Pass Ste D
East Lansing, MI 48823-2000
Phone: (616) 540-9365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Genetics (M.D.) Physician (primary) Taxonomy 207SG0201X

Record details

NPI number1649160375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Agim — Nurse Practitioner · (616) 540-9365
Other names Lsd Center
NPI enumeratedJuly 4, 2025
Last updated in NPPESJuly 4, 2025
Certification dateJuly 4, 2025
Mailing address3024 Bonita Dr Se, Grand Rapids, MI 49508-1424

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