| Iha Ooma Primary Llc | |
|
1375 S Lapeer Rd Ste 210 Lake Orion MI 48360-1421 | |
| (248) 693-5700 | |
| (248) 693-5715 |
| Full Name | Iha Ooma Primary Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1375 S Lapeer Rd Ste 210, Lake Orion, Michigan |
| Authorized Official Name and Position | Cynthia A Elliott (CHIEF OPERATING OFFICE / PRESIDENT) |
| Authorized Official Contact | 7343270872 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iha Ooma Primary Llc 24 Frank Lloyd Wright Dr Lbby J2000 Ann Arbor MI 48105-9484 Ph: () - | Iha Ooma Primary Llc 1375 S Lapeer Rd Ste 210 Lake Orion MI 48360-1421 Ph: (248) 693-5700 |
| NPI Number | 1316610769 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 07/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316610769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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