GUSTAVO ALFONSO LAMELA DOMENECH MD
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Pain Medicine
Provider Information
- NPI Number
1154897924- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 4660 S HAGADORN RD STE 500, EAST LANSING, MI, 488236804
- Phone
- (517) 884-8701
- Fax
- (517) 884-8787
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Physical Medicine & Rehabilitation
License: PR #24112
Student in an Organized Health Care Education/Training Program
License: PR
Physical Medicine & Rehabilitation, Pain Medicine
Primary License: PR #24112