Lasichak, Lydia Marie
Lasichak, Lydia Marie is an individual health care provider with primary practice located at 6621 W Maple Rd , W Bloomfield MI 48322-3004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Lasichak, Lydia Marie can be contacted via phone (248) 661-4700.Contact Information
Primary practice address
6621 W Maple Rd
W Bloomfield MI 48322-3004
Phone: (248) 661-4700
Fax: (248) 661-6210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | LL043767 | Michigan |
Profile Details
| NPI number | 1942284948 |
|---|---|
| LBN Legal business name | Lasichak, Lydia Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Dec 18th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942284948 | NPPES |
| Michigan | MEDICAID | 4388757-10 |
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