Organization
MACOMB OAKLAND ADULT MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R SCOTT LAZZARA MD (PRESIDENT)
(248) 997-7900
Entity
Organization
Contact information
Practice address
1701 SOUTH BLVD E, SUITE 290, ROCHESTER HILLS, MI 48307-6122
(248) 997-7900
Mailing address
1701 SOUTH BLVD E, SUITE 290, ROCHESTER HILLS, MI 48307-6122
(248) 997-7900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RL063320
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C6123
MCARE
MI
Enumeration date
09/12/2006
Last updated
10/19/2007
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