# GREAT LAKES CANCER MGMT SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DANIEL J LEHMAN MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982702973
- **Authorized official:** ROXANNE CLARK MPA,FAAMA (CHIEF FIN.OFFICER)
- **Authorized official phone:** (313) 884-5524

## Contact information

- **Practice address:** 19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857
- **Practice address phone:** (313) 884-5522
- **Practice address fax:** (313) 884-5737
- **Mailing address:** 19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 4301406109 | MI | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 08/22/2020