Organization · Type 2 NPI
Lassen Dialysis, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Dearborn, MI
NPI number
1619386489
Active
Practice location
22030 Park St
Dearborn, MI 48124-2854
Fax (313) 792-8341
Mailing address
5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1619386489
Lassen Dialysis, LLC's National Provider Identifier is 1619386489, issued on Aug 6, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Dearborn, MI. The record was last updated on Aug 1, 2024.