LYDIA MARIE LASICHAK M.D. NPI 1942284948

NPI Information

NPI: 1942284948
Provider Name: LYDIA MARIE LASICHAK, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
6621 W MAPLE RD
W BLOOMFIELD, MI
ZIP 48322
Phone: (248) 661-4700
Get Directions

Lydia Marie Lasichak, M.D. is a rheumatology internal medicine in W Bloomfield, MI. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. Lydia Marie Lasichak, M.D. NPI is 1942284948. 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:

6621 W MAPLE RD
W BLOOMFIELD, MI
ZIP 48322-004
Phone: (248) 661-4700
Fax: (248) 661-6210

The enumeration date for this NPI number is 12/2/2005 and was last updated on 12/18/2009.

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
1	207RR0500X	Internal Medicine	Rheumatology	LL043767	MICHIGAN	Yes

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
1	B48196	MEDICARE UPIN	MICHIGAN
2	4388757-10	MEDICAID	MICHIGAN
3	0F36405	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

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

NPI Synchronization or Removal

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