Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lyna Azzouz

Individual provider Ophthalmology Physician · NPI 1255075982

Lyna Azzouz is an Ophthalmology in Detroit, Michigan. Graduated from University of Michigan Medical School in 2022, 4 years ago. Licensed in Michigan.

Years since qualifying
4
Trained at
University of Michigan Medical School
Licensed in
MI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

4717 Saint Antoine St
Detroit, MI 48201-1423
Phone: (313) 577-8900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 4301516290 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255075982
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing address400 Mack Ave, Detroit, MI 48201-2136

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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