Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYDIA MARIE LASICHAK, M.D.
ActiveLYDIA MARIE LASICHAK, M.D. is a Rheumatology healthcare provider located in W BLOOMFIELD, Michigan. NPI 1942284948 is currently active in the NPPES registry. Verify at CMS.
Rheumatology · W BLOOMFIELD, MI
Registration Details
- NPI Number
- 1942284948
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2005 (20.729782559359 yrs)
- Last Updated
- Dec 18, 2009
- License
-
LL043767 (MI)
Practice Information
- Address
-
6621 W MAPLE RDW BLOOMFIELD, MI, 483223004Browse MI providers · Browse ZIP 48322
- Phone
- 2486614700
- Fax
- 2486616210
- Primary Specialty
-
Rheumatology
207RR0500X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.