Pediatric Neurosurgery Group, P.C.
LBN: Pediatric Neurosurgery Group, P.C.
Pediatric Neurosurgery Group, P.C. is an health care organization with primary practice located at 3901 Beaubien St , Detroit MI 48201-2119. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty.
Pediatric Neurosurgery Group, P.C. can be contacted via phone (313) 833-4490, or through Williams, Lynique Lechell via phone (313) 745-0659.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | Michigan |
Profile Details
| NPI number | 1255476214 |
|---|---|
| LBN Legal business name | Pediatric Neurosurgery Group, P.C. |
| DBA Doing business as | |
| Authorized official | Williams, Lynique Lechell |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Feb 18th, 2026 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255476214 | NPPES |
| Michigan | MEDICAID | 4210122 | |
| Michigan | MEDICAID | 4160450 | |
| Michigan | MEDICAID | 4160459 |
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