Doctor Name: | LORNE ALEC ZIELASKOWSKI |
NPI Number: | 1174581607 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | LZ002070 |
Business Practice Address: | 321 Long Rapids Plz Alpena, MI - 497071375 |
Business Phone Number: | 9893543309 |
Business Fax Number: | 9893549190 |
Mailing Address: | 321 Long Rapids Plz, ALPENA |
State: | MI |
Postal Code: | 497071375 |
Phone Number: | 9893543309 |
Fax Number: | 9893549190 |
NPI Enumeration Date: | 05/03/2006 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | LZ002070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |