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

Lisa Kimball, DO

Individual provider Family Medicine Physician · NPI 1417149196

Lisa Kimball, DO is a Family Practice in Lansing, Michigan. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2007, 19 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
19
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
MI
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 364-5775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101017296 (MI)

Record details

NPI number1417149196
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 15, 2007
Last updated in NPPESAugust 15, 2007
Mailing address1215 E Michigan Ave, Lansing, MI 48912-1811

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2007 (19 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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