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Organization
LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
Active
Organization
LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LI ZUO MD (CEO)
(513) 535-0946
Entity
Organization
Contact information
Practice address
3500 DULUTH PARK LN STE 820, DULUTH, GA 30096-3243
(678) 226-9866
(678) 373-3983
Mailing address
PO BOX 2227, DULUTH, GA 30096-0039
(678) 837-5224
(404) 860-1298
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
75964
GA
Other
Enumeration date
02/21/2017
Last updated
10/19/2022
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