GUSTAVO ALFONSO LAMELA DOMENECH

EAST LANSING, MI
NPI1154897924
Professional NameGUSTAVO ALFONSO LAMELA DOMENECH
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: PR  24112)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
208100000X Physical Medicine & Rehabilitation
(Licence: PR  24112)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-10-19
Last Update Date2025-11-24
Business Address
GUSTAVO ALFONSO LAMELA DOMENECH MD
4660 S HAGADORN RD STE 500
EAST LANSING, MI 48823-6804
Phone number: 517-884-8701
Mailing Address
GUSTAVO ALFONSO LAMELA DOMENECH MD
804 SERVICE RD STE A109B
EAST LANSING, MI 48824-7015
Phone number: 517-353-4911