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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