Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lsd Center of Excellence LLC

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

Lsd Center of Excellence LLC provides Clinical Genetics (M.D.) Physician services 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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