Organization
LISA A MANZ DULAC MD & ASSOCIATES PC
Active
Other names
Eastside Dermatology PC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A MANZ-DULAC MD (OWNER)
(313) 884-3380
Entity
Organization
Contact information
Practice address
20030 MACK AVE, GROSSE POINTE WOODS, MI 48236-2323
(313) 884-3380
(313) 884-9756
Mailing address
20030 MACK AVE, GROSSE POINTE WOODS, MI 48236-2323
(313) 884-3380
(313) 884-9756
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070H24887
BCBS OF MI GROUP NUMBER
MI
01
—
23D0916007
CLIA NUMBER
MI
Enumeration date
03/22/2006
Last updated
01/03/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us