Lydia Marie Lasichak, MD in W Bloomfield, MI - Internal Medicine

Lydia Marie Lasichak, MD is a Internal Medicine - Rheumatology physician based in W Bloomfield, Michigan. Lydia Marie Lasichak is licensed to practice in Michigan (license number LL043767) and her current practice location is 6621 W Maple Rd, W Bloomfield, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 661-4700.

NPI number for Lydia Marie Lasichak is 1942284948 and her current mailing address is 6621 W Maple Rd, W Bloomfield, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942284948.

Contact Information

	Lydia Marie Lasichak, MD
	6621 W Maple Rd, W Bloomfield, MI 48322-3004
	(248) 661-4700
	(248) 661-6210

Physician's Profile

Full Name	Lydia Marie Lasichak
Gender	Female
Speciality	Internal Medicine - Rheumatology
Location	6621 W Maple Rd, W Bloomfield, Michigan
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1942284948
Provider Enumeration Date: 12/02/2005
Last Update Date: 12/18/2009

Medical Identifiers

Medical identifiers for Lydia Marie Lasichak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942284948	NPI	-	NPPES
4388757-10	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RR0500X	Internal Medicine - Rheumatology	LL043767 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lydia Marie Lasichak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lydia Marie Lasichak, MD 6621 W Maple Rd, W Bloomfield, MI 48322-2078 Ph: (248) 661-4700	Lydia Marie Lasichak, MD 6621 W Maple Rd, W Bloomfield, MI 48322-3004 Ph: (248) 661-4700

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Internal Medicine Doctors in W Bloomfield, MI

Dr. Thomas H Li, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2300 Haggerty Rd Ste 2190, W Bloomfield, MI 48323 Phone: 489-601-1222 Fax: 248-246-0506
Dr. Robert H Goo, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2300 Haggerty Rd, Ste 2010, W Bloomfield, MI 48323 Phone: 248-926-9660 Fax: 248-926-9927
Dr. Marc Brodsky, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 6900 Orchard Lake Rd Ste 106, W Bloomfield, MI 48322 Phone: 248-788-4278 Fax: 248-788-2001

Lydia Marie Lasichak, MD - Internal Medicine in W Bloomfield, MI