Lamela Domenech, Gustavo Alfonso

Lamela Domenech, Gustavo Alfonso is an individual health care provider with primary practice located at 4660 S Hagadorn Rd Ste 500 , East Lansing MI 48823-6804. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Lamela Domenech, Gustavo Alfonso can be contacted via phone (517) 884-8701.

Contact Information

Primary practice address
4660 S Hagadorn Rd Ste 500 East Lansing MI 48823-6804
Phone: (517) 884-8701
Fax: (517) 884-8787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Puerto Rico
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301509093 Michigan

Profile Details

NPI number 1154897924
LBN Legal business name Lamela Domenech, Gustavo Alfonso
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2018
Last updated Jun 26th, 2023 - about last year

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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