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Lakeside Allergy Asthma And Immunology Llc
Medical Specialty Clinic/Center in Duluth, Georgia
NPI 1104365279

Lakeside Allergy Asthma And Immunology Llc is a Medical Specialty Clinic/Center based in Duluth, GA and is specialized in Medical Specialty. Lakeside Allergy Asthma And Immunology Llc practices in Duluth, GA. The NPI Number for Lakeside Allergy Asthma And Immunology Llc is 1104365279 and holds a License No. 75964 (Georgia).

The current practice location address for Lakeside Allergy Asthma And Immunology Llc is 3500 Duluth Park Ln Ste 820, Duluth, GA and can be reached out via phone at 678-226-9866 and via fax at 678-373-3983.

Location: 3500 Duluth Park Ln Ste 820, Duluth, GA, 30096-0039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104365279
Provider Name
Lakeside Allergy Asthma And Immunology Llc
Credential
Provider Entity Type
Organization
Address
3500 Duluth Park Ln Ste 820, Duluth, GA, 30096-0039
Phone Number
678-226-9866
Fax Number
678-373-3983
Provider Enumeration Date
02/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3500 Duluth Park Ln Ste 820
City
Duluth
State
Georgia
Zip
30096-3243
Phone Number
678-226-9866
Fax Number
678-373-3983
person
Provider Business Mailing Address Details
Address
3500 Duluth Park Ln Ste 820
City
Duluth
State
Georgia
Zip
30096-3243
Phone Number
678-226-9866
Fax Number
678-373-3983
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
75964 (Georgia)
Definition
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).
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