Lulenski, Gary C

Lulenski, Gary C is an individual health care provider with primary practice located at 2500 Niles Road #5 , St Joseph MI 49085. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is his primary health care specialty. Lulenski, Gary C can be contacted via phone (269) 428-3442.

Contact Information

Primary practice address
2500 Niles Road #5 St Joseph MI 49085
Phone: (269) 428-3442
Fax: (269) 428-8062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 430103863 Michigan
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 430103863 Michigan

Profile Details

NPI number 1962552950
LBN Legal business name Lulenski, Gary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 12th, 2010 - 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 1962552950 NPPES
Michigan MEDICAID 101861013
Michigan Other 0401135182

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