Provider Demographics
NPI:1861609992
Name:LEY, ALYSE F (DO)
Entity type:Individual
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First Name:ALYSE
Middle Name:F
Last Name:LEY
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Gender:F
Credentials:DO
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Mailing Address - Street 1:804 SERVICE RD STE A109B
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-353-3070
Mailing Address - Fax:517-884-1817
Practice Address - Street 1:909 WILSON RD RM B119
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48824-6410
Practice Address - Country:US
Practice Address - Phone:517-355-3070
Practice Address - Fax:517-884-1817
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2023-06-23
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Provider Licenses
StateLicense IDTaxonomies
MI51010153032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1861609992Medicaid
MIC36166037Medicare PIN