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Organization

DR. LORI PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI HADDAD D.O. (PRESIDENT/PHYSICIAN)
(248) 645-0830
Entity
Organization

Contact information

Practice address
353 SOUTH OLD WOODWARD AVE, BIRMINGHAM, MI 48009
(248) 645-0830
(248) 645-2863
Mailing address
5312 CAPRI, TROY, MI 48098
(248) 645-0830
(248) 645-2863

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
LH010584
MI

Other

Enumeration date
11/04/2009
Last updated
11/04/2009
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