Individual
DR. LORI A. HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2151 E 14 MILE RD, BIRMINGHAM, MI 48009-7260
(248) 645-0830
(248) 645-2863
Mailing address
2151 E 14 MILE RD, BIRMINGHAM, MI 48009-7260
(248) 645-0830
(248) 645-2863
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
LH0105084
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0756304784
BCBSM PROVIDER I.D.
MI
Enumeration date
07/13/2006
Last updated
07/09/2007
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