Organization · Type 2 NPI
Lakeside Allergy Asthma and Immunology LLC
Medical Specialty Clinic/Center · Duluth, GA
Practice location
3500 Duluth Park Ln Ste 820
Duluth, GA 30096-3243
Fax (678) 373-3983
Mailing address
PO Box 2227
Duluth, GA 30096-0039
Other practice locations
- 3790 Pleasant Hill Rd, Suite 200, Duluth, GA 30096-5142 · (678) 837-5224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 75964 (GA) |
Medical Specialty Clinic/Center: 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).
About NPI 1104365279
Lakeside Allergy Asthma and Immunology LLC's National Provider Identifier is 1104365279, issued on Feb 21, 2017. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Duluth, GA. The record was last updated on Oct 19, 2022.