Individual
DR. GINETTE ALICIA LEZOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
20239 MACK AVENUE, GROSSE POINTE WOODS, MI 48236-1769
(313) 343-5555
(313) 343-5304
Mailing address
20239 MACK AVENUE, GROSSE POINTE WOODS, MI 48236-1769
(313) 343-5555
(313) 343-5304
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
1601000010
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N49120
HEALTH ALLIANCE PLAN
MI
01
—
126065
GREAT LAKES HEALTH
MI
01
—
202114
TOTAL HEALTH CARE
MI
01
—
540H214720
BCBSM
MI
01
—
640H227080
BCBSM
MI
05
—
804683505
—
MI
05
—
904396202
—
MI
Enumeration date
06/18/2006
Last updated
04/25/2011
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