Lakeside Allergy Asthma and Immunology LLC
NPI 1104365279 · Medical Specialty Clinic/Center · Duluth, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lakeside Allergy Asthma and Immunology LLC is a Medical Specialty Clinic/Center organization in Duluth, GA (NPI 1104365279).
Provider details
- NPI number
- 1104365279
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Li Zuo, Ceo(513) 535-0946
- License
- 75964 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 3790 Pleasant Hill RdSuite 200Duluth, GA 30096-5142Phone: (678) 837-5224
Registry dates
- Enumerated
- 2017-02-21
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Frequently asked questions
- What is Lakeside Allergy Asthma and Immunology LLC's NPI number?
- Lakeside Allergy Asthma and Immunology LLC's National Provider Identifier (NPI) is 1104365279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Allergy Asthma and Immunology LLC?
- Lakeside Allergy Asthma and Immunology LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeside Allergy Asthma and Immunology LLC located?
- Lakeside Allergy Asthma and Immunology LLC's practice location on file with NPPES is 3500 Duluth Park Ln Ste 820, Duluth, GA 30096-3243.
- What is Lakeside Allergy Asthma and Immunology LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Allergy Asthma and Immunology LLC is (678) 226-9866.
- Does Lakeside Allergy Asthma and Immunology LLC accept Medicare?
- Lakeside Allergy Asthma and Immunology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lakeside Allergy Asthma and Immunology LLC?
- The authorized official listed on Lakeside Allergy Asthma and Immunology LLC's NPPES record is Li Zuo, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Allergy Asthma and Immunology LLC's NPI active?
- Yes — Lakeside Allergy Asthma and Immunology LLC's NPI (1104365279) is active in the NPPES registry as of the last update on 2022-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.