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Dr. Lisa Allyn Manz Dulac, MD
Specialist in Grosse Pointe Woods, Michigan
NPI 1871552497

Lisa Allyn Manz Dulac is a Specialist based in Grosse Pointe Woods, MI. Lisa Allyn Manz Dulac practices in Grosse Pointe Woods, MI and has the professional credentials of MD. The NPI Number for Lisa Allyn Manz Dulac is 1871552497 and holds a License No. 43010053049 (Michigan).

The current practice location address for Lisa Allyn Manz Dulac is 20030 Mack Ave, Grosse Pointe Woods, MI and can be reached out via phone at 313-884-3380 and via fax at 313-884-9756.

Location: 20030 Mack Ave, Grosse Pointe Woods, MI, 48236
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871552497
Provider Name
Lisa Allyn Manz Dulac
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20030 Mack Ave, Grosse Pointe Woods, MI, 48236
Phone Number
313-884-3380
Fax Number
313-884-9756
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3491350 05 MI
institution
Provider Business Practice Location Address Details
Address
20030 Mack Ave
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2323
Phone Number
313-884-3380
Fax Number
313-884-9756
person
Provider Business Mailing Address Details
Address
20030 Mack Ave
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2323
Phone Number
313-884-3380
Fax Number
313-884-9756
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
43010053049 (Michigan)
Definition
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.
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