Individual provider · Type 1 NPI

Micah Lissy, MD

Sports Medicine (Orthopaedic Surgery) Physician · East Lansing, MI

NPI number 1154627370 Active

Practice location

4660 S Hagadorn Rd Ste 420
East Lansing, MI 48823-5353

Call (517) 884-6100 Map

Fax (517) 884-6233

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X261158 (NY)
Sports Medicine (Orthopaedic Surgery) Physician Primary 207XX0005X4301099989 (MI)

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

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About NPI 1154627370

Micah Lissy, MD's National Provider Identifier is 1154627370, issued on Feb 4, 2011. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in East Lansing, MI. The record was last updated on Jul 26, 2022.