Provider Demographics
NPI:1144758236
Name:THURMAN, CLEOPATRA NSOFWA (DO)
Entity type:Individual
Prefix:
First Name:CLEOPATRA
Middle Name:NSOFWA
Last Name:THURMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CLEOPATRA
Other - Middle Name:
Other - Last Name:MWANSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:SPARROW HOSPITAL
Mailing Address - Street 2:1215 EAST MICHIGAN AVENUE
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912
Mailing Address - Country:US
Mailing Address - Phone:517-432-9277
Mailing Address - Fax:517-432-9414
Practice Address - Street 1:804 SERVICE RD STE A217
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48824-7015
Practice Address - Country:US
Practice Address - Phone:517-353-8122
Practice Address - Fax:517-432-3713
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361738732084N0400X, 2084V0102X
MI51010259532084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology