Individual provider · Type 1 NPI

Lisa Allyn Manz Dulac, MD

Specialist · Grosse Pointe Woods, MI

NPI number 1871552497 Active

Practice location

20030 Mack Ave
Grosse Pointe Woods, MI 48236-2323

Fax (313) 884-9756

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X43010053049 (MI)

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.

4 other providers at this address

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About NPI 1871552497

Lisa Allyn Manz Dulac, MD's National Provider Identifier is 1871552497, issued on Mar 22, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grosse Pointe Woods, MI. The record was last updated on Jan 3, 2012.