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LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC NPI 1104365279


NPI Information

NPI: 1104365279
Provider Name: LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
3500 DULUTH PARK LN STE 820
DULUTH, GA
ZIP 30096
Phone: (678) 226-9866
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LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC is a medical specialty clinic center in Duluth, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC NPI is 1104365279. The provider is registered as an organization entity type.

The provider's business location address is:

3500 DULUTH PARK LN STE 820
DULUTH, GA
ZIP 30096-243
Phone: (678) 226-9866
Fax: (678) 373-3983

The provider's authorized official is Li Zuo .
The authorized official title is Ceo and has the following contact phone number (513) 535-0946.

The enumeration date for this NPI number is 2/21/2017 and was last updated on 10/19/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty75964GEORGIAYes

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: 4/28/2024

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