Eastside Dermatology Pc
LBN: Lisa A Manz Dulac Md & Associates Pc
Eastside Dermatology Pc is an health care organization with primary practice located at 20030 Mack Ave , Grosse Pointe Woods MI 48236-2323. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Lisa A Manz Dulac Md & Associates Pc can be contacted via phone (313) 884-3380, or through Manz-Dulac, Lisa A via phone (313) 884-3380.
Contact Information
Primary practice address
20030 Mack Ave
Grosse Pointe Woods MI 48236-2323
Phone: (313) 884-3380
Fax: (313) 884-9756
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X |
Profile Details
NPI number | 1326007956 |
---|---|
LBN Legal business name | Lisa A Manz Dulac Md & Associates Pc |
DBA Doing business as | Eastside Dermatology Pc |
Authorized official | Manz-Dulac, Lisa A Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 22nd, 2006 |
Last updated | Jan 3rd, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326007956 | NPPES |
Michigan | Other | 23D0916007 | CLIA NUMBER |
Michigan | Other | 070H24887 | CLIA NUMBER |
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