Provider Demographics
NPI:1922155340
Name:ARLENE Z ROMAN
Entity type:Organization
Organization Name:ARLENE Z ROMAN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:ZOE
Authorized Official - Last Name:ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-977-0134
Mailing Address - Street 1:808 W LAKE LANSING RD STE 104
Mailing Address - Street 2:
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-6301
Mailing Address - Country:US
Mailing Address - Phone:517-977-0134
Mailing Address - Fax:517-201-0722
Practice Address - Street 1:808 W LAKE LANSING RD STE 104
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-6301
Practice Address - Country:US
Practice Address - Phone:179-770-1345
Practice Address - Fax:517-201-0722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084P0800X
MI43010516942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty