Drallos, Melissa Lukens
Drallos, Melissa Lukens is an individual health care provider with primary practice located at 1455 S Lapeer Rd Suite 100, Lake Orion MI 48360-1467. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Drallos, Melissa Lukens can be contacted via phone (248) 693-3551.Contact Information
Primary practice address
1455 S Lapeer Rd Suite 100
Lake Orion MI 48360-1467
Phone: (248) 693-3551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601004538 | Michigan |
Profile Details
| NPI number | 1407895634 |
|---|---|
| LBN Legal business name | Drallos, Melissa Lukens |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Jul 18th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407895634 | NPPES |
| Michigan | Other | 08-5-63-1845-0 | BCBS MICHIGAN |
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