National Provider Identifier Database

LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
3500 DULUTH PARK LN STE 820
DULUTH, GA30096-3243
Phone: 678-226-9866
Fax: 678-373-3983
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC

NPI Number 1104365279
Legal business name
LBN
LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
Authorized official LI ZUO - (CEO)
Entity Organization
Organization subpart No
Enumeration date 02/21/2017
Last updated 10/19/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 75964

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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