Organization
GREAT LAKES CANCER MGMT SPECIALISTS
Active
Other names
DANIEL J LEHMAN MD
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE CLARK MPA,FAAMA (CHIEF FIN.OFFICER)
(313) 884-5524
Entity
Organization
Contact information
Practice address
19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857
(313) 884-5522
(313) 884-5737
Mailing address
19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
4301406109
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2367161
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
2752283
—
MI
Enumeration date
09/21/2006
Last updated
08/22/2020
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