Organization
LUNG DOCS OF AMERICA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICIA LEE HUISMAN MHA (OFFICE MANAGER)
(810) 990-8222
Entity
Organization
Contact information
Practice address
1210 10TH AVE, PORT HURON, MI 48060-3406
(810) 984-8470
(810) 984-3919
Mailing address
2615 ELECTRIC AVE, PORT HURON, MI 48060-6575
(810) 990-8222
(810) 937-5592
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301055094
MI
207RP1001X
Pulmonary Disease Physician
430107244
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4153017
—
MI
Enumeration date
10/18/2017
Last updated
12/29/2020
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