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1104365279
LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
DULUTH, GA
NPI
1104365279
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Entity Type
Organization
Authorized Contact
LI ZUO
CEO
513-535-0946
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
(Licence: GA 75964)
Enumeration Date
2017-02-21
Last Update Date
2022-10-19
Business Address
LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
3500 DULUTH PARK LN STE 820
DULUTH, GA 30096-3243
Phone number: 678-226-9866
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Mailing Address
LAKESIDE ALLERGY ASTHMA AND IMMUNOLOGY LLC
PO BOX 2227
DULUTH, GA 30096-0039
Phone number: 678-837-5224
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