Provider Demographics
NPI:1497838494
Name:ALLERGY & ASTHMA, P. C.
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-626-5315
Mailing Address - Street 1:5775 WEST MAPLE ROAD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322
Mailing Address - Country:US
Mailing Address - Phone:248-626-5315
Mailing Address - Fax:248-626-2248
Practice Address - Street 1:5775 WEST MAPLE ROAD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322
Practice Address - Country:US
Practice Address - Phone:248-626-5315
Practice Address - Fax:248-626-2248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOF34975Medicare ID - Type Unspecified