Individual
PAUL ALAN LAHAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-4575
(906) 225-4578
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
4301091497
MI
207T00000X
Neurological Surgery Physician
Primary
69542
MN
207T00000X
Neurological Surgery Physician
C40718
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1405211321
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
05
—
GR0030300
—
CA
Enumeration date
05/08/2006
Last updated
08/24/2021
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