Individual
DR. LASCELLES PINNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
14575 SOUTHFIELD RD, ALLEN PARK, MI 48101
(313) 381-5170
(313) 381-8790
Mailing address
14575 SOUTHFIELD RD, ALLEN PARK, MI 48101
(313) 381-5170
(313) 381-8790
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
LP042960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004774
CAPE HEALTH
MI
01
—
0255787002
CIGNA
MI
01
—
046
HEALTH PLUS
MI
01
—
125274
CARE CHOICES
MI
01
—
13242
WELLNESS -CHSD
MI
05
—
2110638-10
—
MI
01
—
21165
OMNI HMO
MI
01
—
4033934
AETNA
MI
01
—
4440296
TEAMSTERS
MI
01
—
48254
OMNI CARE CONVENTRY
MI
01
—
81165
OMNI POS
MI
01
—
OH23634
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/06/2006
Last updated
12/02/2010
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