Individual
LUBNA MANZOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2070 BIDDLE AVE STE 2, WYANDOTTE, MI 48192
(734) 282-2020
(734) 282-2002
Mailing address
1640 FORT ST, SUITE D ATTN DENISE, TRENTON, MI 48183-2040
(734) 391-3057
(734) 391-3052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301106426
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H27501
BLUE CROSS
MI
01
—
1841564788
GROUP NPI HENRY FORD WYANDOTTE
MI
Enumeration date
09/13/2011
Last updated
06/14/2018
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