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GREAT LAKES CANCER MGMT SPECIALISTS NPI 1982702973


NPI Information

NPI: 1982702973
Provider Name: GREAT LAKES CANCER MGMT SPECIALISTS

Doing Business As: DANIEL J LEHMAN MD

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
19229 MACK AVE STE 24
GROSSE POINTE WOODS, MI
ZIP 48236
Phone: (313) 884-5522
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GREAT LAKES CANCER MGMT SPECIALISTS is a non pharmacy dispensing site in Grosse Pointe Woods, MI. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) GREAT LAKES CANCER MGMT SPECIALISTS NPI is 1982702973. The provider is registered as an organization entity type.
The provider Is Doing Business As Daniel J Lehman Md.

The provider's business location address is:

19229 MACK AVE STE 24
GROSSE POINTE WOODS, MI
ZIP 48236-857
Phone: (313) 884-5522
Fax: (313) 884-5737

The provider's authorized official is Roxanne Clark .
The authorized official title is Chief Fin.officer and has the following contact phone number (313) 884-5524.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing Site4301406109MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12367161OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
22752283MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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