Individual
DR. LOBNA ELHASAN-FAKIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2547 MONROE ST, DEARBORN, MI 48124-3013
(313) 528-3700
(313) 791-8302
Mailing address
2547 MONROE ST, DEARBORN, MI 48124-3013
(313) 528-3700
(313) 582-3301
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
4301064108
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103479230
—
MI
05
—
104713462
—
MI
Enumeration date
10/13/2006
Last updated
05/03/2016
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