Organization
SOMERSET OPHTHALMOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A LUISA DILORENZO MD (OWNER)
(248) 822-7006
Entity
Organization
Contact information
Practice address
2877 CROOKS RD, SUITE B, TROY, MI 48084-4717
(248) 822-7003
(248) 822-7008
Mailing address
2877 CROOKS RD, SUITE B, TROY, MI 48084
(248) 822-7003
(248) 822-7003
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180F335510
BCBSMI
MI
05
—
3403090
—
MI
Enumeration date
07/10/2006
Last updated
05/15/2015
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