| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1649517384 | HUMPHREY | SALLY | L | 812 E JOLLY RD | LANSING | MI | 489106818 | |
| 1891032439 | UPSON | RYAN | C | 812 E JOLLY RD | LANSING | MI | 489106818 | |
| 1790023224 | WICKER | MARY | C | 812 E JOLLY RD | LANSING | MI | 489106818 |