Organization
MEMAC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORACIO G. LARDO MD (PRESIDENT)
(586) 573-5267
Entity
Organization
Contact information
Practice address
11800 E 12 MILE RD, ANESTHESIA DEPARTMENT, WARREN, MI 48093-3472
(586) 573-5260
Mailing address
7 W SQUARE LAKE RD, BLOOMFIELD HILLS, MI 48302-0462
(586) 573-5260
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4484310
AETNA
MI
Enumeration date
05/09/2006
Last updated
09/11/2025
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