Provider Demographics
NPI:1578882387
Name:ABERDEEN ASTHMA & ALLERGY PC
Entity Type:Organization
Organization Name:ABERDEEN ASTHMA & ALLERGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:LUZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:605-225-0025
Mailing Address - Street 1:201 S LLOYD ST STE W110
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-4512
Mailing Address - Country:US
Mailing Address - Phone:605-225-0025
Mailing Address - Fax:605-225-2259
Practice Address - Street 1:201 S LLOYD ST STE W110
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4512
Practice Address - Country:US
Practice Address - Phone:605-225-0025
Practice Address - Fax:605-225-2259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSD1359207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty