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Board of Trustees of Michigan State University

Pediatric Hematology & Oncology Physician in Lansing, MI · enumerated 2014 · authorized official Lisa Rucker, Enrollment & Patient Accts Super.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821493974

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Registry record

Entity type Organization (Type 2)
Legal business name Board of Trustees of Michigan State University
Other name <Unavail>
Practice address 1200 E Michigan Ave, Ste 145, Lansing, MI, 48912
Fax (517) 364-5409
Enumeration date Oct 31, 2014
Last updated in NPPES Dec 13, 2019

Taxonomy & classification

207K00000X Allergy & Immunology Physician Allopathic & Osteopathic Physicians · License 4301035591 (MI) Secondary
207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians · License 4301021298 (MI) Secondary
2080P0207X Pediatric Hematology & Oncology Physician Allopathic & Osteopathic Physicians · License 4301045225 (MI) Primary
2080P0214X Pediatric Pulmonology Physician Allopathic & Osteopathic Physicians · License 4301035591 (MI) Secondary

Authorized official

Name Lisa Rucker
Title Enrollment & Patient Accts Super

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Board of Trustees of Michigan State University located?
The practice location on file with NPPES is in Lansing, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-12-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-13.