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Individual

DR. LINDSEY ELLIOTT DE GUEHERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(252) 291-5864
(800) 290-5015
Mailing address
1405 KENAN ST NW, WILSON, NC 27893-2345
(252) 315-7954

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28018
NC
207RP1001X
Pulmonary Disease Physician
28018
NC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
28018
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10156220
VOCATIONAL REHAB NUMBER
NC
01
22907
MEDCOST NUMBER
NC
01
28279
BCBS OF NC NUMBER
NC
01
4851761
UNITED HEALTHCARE
NC
01
7224358
AETNA
NC
05
8928279
NC
01
CL2570
MEDICARE RAILROAD NUMBER
NC
Enumeration date
05/23/2006
Last updated
10/15/2024
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