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NPI Code Detail

MEDICARE: DR. LON ERIC KATZ M.D.

MEDICARE:  DR. LON ERIC KATZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianLK052894MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10F32178OTHERMIBLUE CROSS GROUP PIN
21992792212OTHERMINPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992792212
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LON ERIC KATZ M.D.
Provider Business Mailing Address
First Line : 2300 HAGGERTY RD
Second Line : STE 2070
City : WEST BLOOMFIELD
State : MI
Zip : 48323-2184
Country : US
Telephone Number : 248-926-2020
Fax Number : 248-926-9020
Provider Business Practice Location Address
First Line : 2300 HAGGERTY RD
Second Line : STE 2070
City : WEST BLOOMFIELD
State : MI
Zip : 48323-2184
Country : US
Telephone Number : 248-926-2020
Fax Number : 248-926-9020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 04/25/2013

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Directions to “ DR. LON ERIC KATZ M.D.” Practice Location

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