LYDIA MARIE LASICHAK M.D.
NPI 1942284948
Internal Medicine - Rheumatology in W Bloomfield, MI

Active since December 02, 2005
6621 W MAPLE RD, W BLOOMFIELD, MI 48322(248) 661-4700(248) 661-6210 Get Directions Write a Review

NPPES record last updated: December 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lydia Marie Lasichak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA MARIE LASICHAK M.D. (NPI 1942284948) is an individual rheumatology provider in W Bloomfield, Michigan, licensed in Michigan (LL043767) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1942284948
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameLYDIA MARIE LASICHAKCredential: M.D.
Location Address6621 W MAPLE RDW Bloomfield, MI 48322-3004
Mailing Address6621 W Maple RdW Bloomfield, MI 48322-2078 · (248) 661-4700 · Fax (248) 661-6210
Fax(248) 661-6210
Sole ProprietorNo
Enumeration DateDecember 2, 2005
Last NPPES UpdateDecember 18, 2009
NPI 1942284948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MI · LL043767
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
6621 W MAPLE RD, W Bloomfield, MI 48322

Other Identifiers 3

Medicare UPINB48196MI
Medicaid4388757-10MI
Medicare ID-Type Unspecified0F36405MI

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
6621 W MAPLE RD
W BLOOMFIELD, MI 48322
Physical Therapist (Orthopedic)
6621 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Physical Therapist
6621 W MAPLE RD
WEST BLOOMFIELD, MI 48322
Durable Medical Equipment & Medical Supplies
6621 W MAPLE RD
W BLOOMFIELD, MI 48322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Lasichak's NPI number?

The NPI number for Lydia Lasichak is 1942284948. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Lydia Lasichak located?

Lydia Lasichak practices at 6621 W Maple Rd, W Bloomfield, MI 48322. The listed phone number is (248) 661-4700.

What is Lydia Lasichak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

When was this NPI record last updated?

The NPPES record for Lydia Lasichak was last updated on December 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.