Dr. Lori PC

NPI #1619204187 in Birmingham, Michigan

Provider Information

NPI Number: 1619204187
Entity Type: Organization
Organization Name: Dr. Lori PC
Primary Specialty: Dermatology
Enumeration Date: Nov 4, 2009
Last Updated: Nov 4, 2009

Practice Location

Address: 353 SOUTH OLD WOODWARD AVE
City: Birmingham
State: Michigan
ZIP Code: 48009
Phone: (248) 645-0830

Authorized Official

Name: LORI HADDAD, D.O.
Title: PRESIDENT/PHYSICIAN
Phone: (248) 645-0830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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