DR. LISA ALLYN MANZ DULAC MD NPI 1871552497

NPI Details

DR. Lisa Allyn Manz Dulac, MD is a specialist in Grosse Pointe Woods, MI with 39 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Lisa Allyn Manz Dulac, MD NPI is 1871552497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20030 MACK AVE
GROSSE POINTE WOODS, MI
ZIP 48236-323
Phone: (313) 884-3380
Fax: (313) 884-9756

The NPI 1871552497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 23D0916007 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Destruction of precancer skin growth, 1 growth (HCPCS:17000)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Biopsy of related skin growth, first growth (HCPCS:11102)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
• Biopsy of related skin growth, each additional growth (HCPCS:11103)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
• Injection into skin growth, 1-7 growths (HCPCS:11900)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Destruction of skin growth, 15 or more growths (HCPCS:17111)
• Injection into skin growth, more than 7 growths (HCPCS:11901)
• Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11401)
• Simple or single drainage of skin abscess (HCPCS:10060)
• Punch biopsy, first skin growth (HCPCS:11104)
• Acne surgery (HCPCS:10040)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/22/2006 and was last updated on 1/3/2012.

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:

Other Identifiers

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