DR. LISA ALLYN MANZ DULAC (NPI# 1871552497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871552497 |
| Entity Type | Individual |
| Full Name | DR. LISA ALLYN MANZ DULAC |
| Credential | MD |
| Practice Address |
20030 Mack Ave Grosse Pointe Woods MI 48236-2323 |
| Mailing Address |
20030 Mack Ave Grosse Pointe Woods MI 48236 |
| Practice Telephone | 3138843380 |
| Practice Fax Number | 3138849756 |
| Mailing Telephone | 3138843380 |
| Mailing Fax Number | 3138849756 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2012-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 43010053049 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3491350 | 05 |
| Street Address |
20030 MACK AVE |
| City | GROSSE POINTE WOODS |
| State | MI |
| Zip Code | 48236-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007956 | Lisa A Manz Dulac Md & Associates PC | Specialist | 20030 Mack Ave, Grosse Pointe Woods, MI 48236-2323 | 2006-03-22 |
| 1245340975 | Natalia Filipof | Specialist | 20030 Mack Ave, Grosse Pointe Woods, MI 48236-2323 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689959108 | Bruce Ogilvy | Specialist | 2064 Fleetwood Dr, Grosse Pointe Woods, MI 48236-1647 | 2011-10-15 |
| 1326007956 | Lisa A Manz Dulac Md & Associates PC | Specialist | 20030 Mack Ave, Grosse Pointe Woods, MI 48236-2323 | 2006-03-22 |
| 1326179730 | Lloyd and Boccaccio Md PC | Specialist | 19229 Mack Ave, Suite 38, Grosse Pointe Woods, MI 48236-2858 | 2007-03-08 |
| 1629169578 | Ferrara Dermatology Clinic PC | Specialist | 20045 Mack Ave, Grosse Pointe Woods, MI 48236-2322 | 2006-09-27 |
| 1245340975 | Natalia Filipof | Specialist | 20030 Mack Ave, Grosse Pointe Woods, MI 48236-2323 | 2006-08-30 |
| 1780625889 | Donn Michael Schroder | Specialist | 19229 Mack Ave, Suite 38, Grosse Pointe Woods, MI 48236-2858 | 2006-06-09 |
| 1164463758 | John Elliott Boccaccio | Specialist | 19229 Mack Ave, Suite 38, Grosse Pointe Woods, MI 48236-2858 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574118 | Gada Santos | Specialist | 10786 Pine St, Taylor, MI 48180-3440 | 2020-10-07 |
| 1750995361 | Advanced Spinal Reconstruction Pllc | Specialist | 972 Chesterfield Ave, Birmingham, MI 48009-1223 | 2020-09-01 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1144787326 | At Home Physician Management Group Co. | Specialist | 27440 Hoover Rd Ste C, Warren, MI 48093-7726 | 2019-02-25 |
| 1821561200 | Bailee J Moffitt | Specialist | 913 W Holmes Rd Unit 200, Lansing, MI 48910-0426 | 2019-01-08 |
| 1871064808 | Shanna E Cook | Specialist | 20843 Garden Ln, Ferndale, MI 48220-2217 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
| City | GROSSE POINTE WOODS |
| Zip Code | 48236 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.