Drallos, Melissa Lukens

Drallos, Melissa Lukens is an individual health care provider with primary practice located at 1455 S Lapeer Rd Suite 100, Lake Orion MI 48360-1467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Drallos, Melissa Lukens can be contacted via phone (248) 693-3551.

Contact Information

Primary practice address
1455 S Lapeer Rd Suite 100 Lake Orion MI 48360-1467
Phone: (248) 693-3551
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601004538 Michigan

Profile Details

NPI number 1407895634
LBN Legal business name Drallos, Melissa Lukens
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407895634 NPPES
Michigan Other 08-5-63-1845-0 BCBS MICHIGAN

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